Organization
DOCTOR RETINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZIAR LALEZARY MD (PRESIDENT/CEO)
(310) 571-5026
Entity
Organization
Contact information
Practice address
8383 WILSHIRE BLVD STE 440, BEVERLY HILLS, CA 90211-2436
(310) 571-5026
(844) 373-8462
Mailing address
8383 WILSHIRE BLVD STE 440, SUITE 440, BEVERLY HILLS, CA 90211-2436
(310) 571-5026
(844) 373-8462
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
A120462
CA
Other
Enumeration date
03/31/2015
Last updated
07/18/2023
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