Organization
AMERICAN EYE INSTITUTE A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN NESBURN MD (PARTNER)
(310) 801-5232
Entity
Organization
Contact information
Practice address
6330 SAN VICENTE BLVD STE 408, LOS ANGELES, CA 90048-5462
(310) 652-1133
Mailing address
6330 SAN VICENTE BLVD STE 408, LOS ANGELES, CA 90048-5462
(310) 652-1133
(310) 652-2372
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR00781802
—
CA
Enumeration date
08/22/2006
Last updated
08/08/2025
Update your record
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