Organization
MALONEY-SHAMIE VISION INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA D SULLIVAN (PRACTICE ADMINISTRATOR)
(310) 208-3937
Entity
Organization
Contact information
Practice address
10921 WILSHIRE BLVD STE 900, LOS ANGELES, CA 90024-4003
(310) 415-6627
(310) 208-0169
Mailing address
10921 WILSHIRE BLVD STE 900, LOS ANGELES, CA 90024-4003
(310) 415-6627
(310) 208-0169
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
04/02/2019
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