Organization
VITREO-RETINAL MEDICAL GROUP, INC.
Active
Other names
Retinal Consultants Medical Group ,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL PEARLMAN MD (PRESIDENT)
(916) 596-2027
Entity
Organization
Contact information
Practice address
2470 HILBORN RD, SUITE 150, FAIRFIELD, CA 94534-1100
(707) 759-4942
Mailing address
3 PARK CENTER DR STE 210, SACRAMENTO, CA 95825-8341
(916) 596-2027
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP5300
RAILROAD MEDICARE
CA
01
—
ZZZ69477Z
BLUE SHIELD CA
CA
Enumeration date
02/13/2007
Last updated
10/06/2023
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