Organization
JULES STEIN EYE INSTITUTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN SHIBAYAMA MD (MD)
(310) 825-5000
Entity
Organization
Contact information
Practice address
200 STEIN PLAZA SUITE 2-525, LOS ANGELES, CA 90095-0001
(310) 825-5000
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-3090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
07/12/2024
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