Organization
OPHTHALMOLOGY ASSOCIATES OF THE VALLEY MEDICAL GROUP
Active
Other names
Encino Ophthalmology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID AIZUSS M.D. (CEO)
(818) 990-3623
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE 750, ENCINO, CA 91436-2124
(818) 990-3623
(818) 788-1056
Mailing address
16311 VENTURA BLVD, SUITE 750, ENCINO, CA 91436-2124
(818) 990-3623
(818) 788-1056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10886
MEDICARE
CA
01
—
W10886A
MEDICARE
CA
Enumeration date
11/09/2005
Last updated
02/18/2010
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