Organization
JULES STEIN EYE INSTITUTE MEDICAL GROUP
Active
Other names
Doheny Eye Center UCLA - Orange County
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTLY J MODINO MD (CHAIRMAN)
(714) 963-1444
Entity
Organization
Contact information
Practice address
18111 BROOKHURST ST, SUITE 6400, FOUNTAIN VALLEY, CA 92708-6728
(714) 963-1444
Mailing address
5767 W CENTURY BLVD, STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8713
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
01/09/2020
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