Organization
EAST BAY RETINA CONSULTANTS A MEDICAL GROUP, INC.
Active
Other names
East Bay Retina Consultants, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
SOON T. LEE M.D. (CORPORATE VICE PRESIDENT)
(510) 444-1600
Entity
Organization
Contact information
Practice address
3300 TELEGRAPH AVE., OAKLAND, CA 94609-3028
(510) 444-1600
(510) 444-5117
Mailing address
3300 TELEGRAPH AVE., OAKLAND, CA 94609-3028
(510) 444-1600
(510) 444-5117
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G57682
CA
Other
Enumeration date
11/13/2007
Last updated
04/13/2023
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