Organization
LOS ANGELES VISION CENTER, INC.
Active
Other names
Los Angeles Vision Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KRIVOY M.D. (PRESIDENT)
(310) 838-0202
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD, SUITE 400, CULVER CITY, CA 90232-2732
(310) 838-0202
(310) 838-8694
Mailing address
9808 VENICE BLVD, SUITE 400, CULVER CITY, CA 90232-2732
(310) 838-0202
(310) 838-8694
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66738Z
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
07/10/2006
Last updated
08/22/2020
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