Organization
EYE INSTITUTE OF SOUTHERN CALIFORNIA, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN SARAFZADEH M.D. (OWNER/PRESIDENT)
(818) 300-7304
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 955, ENCINO, CA 91436-4339
(818) 650-2000
(818) 884-0231
Mailing address
16311 VENTURA BLVD STE 955, ENCINO, CA 91436-4339
(818) 650-2000
(818) 884-0231
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A120299
CA
Other
Enumeration date
08/06/2015
Last updated
08/07/2015
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