Organization
MAYO RETINA, INC.
Active
Organization
MAYO RETINA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L. MAYO (MD)
(657) 667-0817
Entity
Organization
Contact information
Practice address
12665 GARDEN GROVE BLVD STE 300, GARDEN GROVE, CA 92843-1917
(657) 667-0817
(657) 667-0819
Mailing address
12665 GARDEN GROVE BLVD STE 300, GARDEN GROVE, CA 92843-1917
(657) 667-0817
(657) 667-0819
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
20A9551
CA
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
G83501
CA
Other
Enumeration date
03/07/2008
Last updated
01/10/2026
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