Organization
VITREO-RETINAL MEDICAL GROUP, INC.
Active
Other names
Retinal Consultants Medical Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL PEARLMAN MD (PRESIDENT)
(916) 596-2027
Entity
Organization
Contact information
Practice address
5775 GREENBACK LN, SACRAMENTO, CA 95841-2013
(916) 339-3655
(916) 339-3658
Mailing address
3 PARK CENTER DR STE 100, SACRAMENTO, CA 95825-8340
(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
—
ZZZ14096Z
BLUE SHIELD CA
CA
Enumeration date
10/02/2006
Last updated
10/06/2023
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