Organization
LOS ANGELES OPHTHALMOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD CASEY M.D. (PRESIDENT)
(310) 673-5774
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE, SUITE 201, INGLEWOOD, CA 90301-4502
(310) 673-5774
(310) 673-9729
Mailing address
P.O. BOX 90619, LOS ANGELES, CA 90009-9998
(310) 673-5774
(310) 673-9729
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
FNP40021
CA
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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