Organization
JONATHAN I MACY M D INC
Active
Other names
Macy Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN ISAAC MACY M.D. (PRESIDENT)
(310) 657-2777
Entity
Organization
Contact information
Practice address
8635 W 3RD ST STE 360W, LOS ANGELES, CA 90048-6149
(310) 657-2777
(310) 657-0356
Mailing address
8635 W 3RD ST STE 360W, LOS ANGELES, CA 90048-6149
(310) 657-2777
(310) 657-0356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G35551
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0086730
—
CA
Enumeration date
09/26/2006
Last updated
08/01/2022
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