EYE SURGICAL MEDICAL GROUP, INC (NPI# 1588852511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588852511 |
| Entity Type | Organization |
| Organization Name | EYE SURGICAL MEDICAL GROUP, INC |
| Practice Address |
1211 N Vermont Ave 200 Los Angeles CA 90029-1748 |
| Practice Telephone | 3236633333 |
| Practice Fax Number | 3236611197 |
| Mailing Telephone | 3236633333 |
| Mailing Fax Number | 3236611197 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | JOSEPH ESHAGIAN (PRESIDENT) |
| Authorized Official Telephone | 3236633333 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
G38640 | CA | Eye and Vision Services Providers |
| Street Address |
1211 N VERMONT AVE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90029-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972589869 | Joseph Eshaghian | Ophthalmology | 1211 N Vermont Ave, Suite 200, Los Angeles, CA 90029-1748 | 2005-12-21 |
| 1881972396 | Safe Health Medical Clinic A Professional Corporation | Internal Medicine | 1211 N Vermont Ave, Suite 207, Los Angeles, CA 90029-1748 | 2011-08-01 |
| 1962797738 | Life Care Medical Clinic A Professional Corporation | Emergency Medicine | 1211 N Vermont Ave, Suite 207, Los Angeles, CA 90029-1748 | 2011-06-09 |
| 1578891867 | Dr. Rodney Barron Medical Clinic, Inc. | Urology | 1211 N Vermont Ave, Suite 205, Los Angeles, CA 90029-1748 | 2009-11-24 |
| 1891995833 | Lim Dental Corporation | Dentist | 1211 N Vermont Ave, #102, Los Angeles, CA 90029-1748 | 2007-07-18 |
| 1306066089 | Dr. Joseph's Eye Medical Clinic, Inc. | Ophthalmology | 1211 N Vermont Ave, # 200, Los Angeles, CA 90029-1748 | 2007-04-26 |
| 1336365576 | Columbia Medical Group, Inc. | General Practice | 1211 N Vermont Ave, Suite 205, Los Angeles, CA 90029-1748 | 2007-04-17 |
| 1720144082 | Albert Whasik Lim | Dentist | 1211 N Vermont Ave, Suite 102, Los Angeles, CA 90029-1748 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053884775 | Melrose Recovery, LLC. | Substance Abuse Rehabilitation Facility | 1253 N Commonwealth Ave, Los Angeles, CA 90029 | 2019-01-04 |
| 1548740939 | Mission City Community Network Inc | Clinic/Center | 5300 Santa Monica Blvd Ste 202, Los Angeles, CA 90029 | 2018-08-15 |
| 1215454707 | Dennis De Vera | Respiratory Therapist, Registered | 1154 N. Berendo St, Los Angeles, CA 90029 | 2017-08-24 |
| 1508390881 | Acadia Malibu, Inc. | Community/Behavioral Health | 4423 and 4423 1/2 Santa Monica Boulevard, Los Angeles, CA 90029 | 2017-04-13 |
| 1023556610 | Jasen Mcgoldrick | Substance Abuse Rehabilitation Facility | 4445 Burns Ave., Los Angeles, CA 90029 | 2017-02-03 |
| 1679930572 | Sukhwa Park | Acupuncturist | 4870 Santa Monica Blvd, Los Angeles, CA 90029 | 2016-01-22 |
| 1629326749 | Jocelyn Anne Brown | Midwife | 1042 Sanborn Ave Apt 9, Los Angeles, CA 90029 | 2012-08-21 |
| 1811211915 | Advanced Skilled Nursing Inc. | Skilled Nursing Facility | 975 North Virgil Avenue, Los Angeles, CA 90029 | 2010-03-17 |
| 1427244060 | Manuel Masaganda Ferreras | Technician/Technologist | 1131 N Vermont Ave Ste 101, Los Angeles, CA 90029 | 2007-09-18 |
| 1033321013 | Zhirayr Jerry Khoshoryan | Chiropractor | 1233 Vermont Ave., Suite 1b, Los Angeles, CA 90029 | 2007-05-04 |
| Find all providers in zip 90029 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790972693 | Ocular Surgery Medical Associates | Technician/Technologist | 1245 Wilshire Blvd Ste 801, Los Angeles, CA 90017-4808 | 2007-09-25 |
| 1720189061 | Rose Medical Group | Technician/Technologist | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
| 1649224049 | More Vision Eye Care A Medical Corporation | Technician/Technologist | 5181 Hollywood Blvd, Los Angeles, CA 90027-6113 | 2006-05-20 |
| 1174650048 | Denis N Thompson | Technician/Technologist | 1245 Wilshire Blvd, Suite 801, Los Angeles, CA 90017-4810 | 2007-02-27 |
| 1083667190 | Richard Michal Teller | Technician/Technologist | 5181 Hollywood Blvd, Los Angeles, CA 90027-6113 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245718691 | Artansia Washington | Technician/Technologist | 535 W Flora St Apt 1, Stockton, CA 95203-2433 | 2018-07-29 |
| 1679696124 | Eyes of Bay | Technician/Technologist | 1005 El Camino Real, Redwood City, CA 94063-1692 | 2007-04-09 |
| 1679609234 | Hoang Duy Nguyen | Technician/Technologist | 9371 Kramer Ave, Ste. F, Westminster, CA 92683-5938 | 2007-02-26 |
| 1598832909 | Fullerton Eye Medical Center | Technician/Technologist | 1321 N Harbor Blvd Ste 300, Fullerton, CA 92835-4131 | 2006-11-29 |
| 1013083518 | Margaret T Taw | Technician/Technologist | 3356 W. Ball Rd. Ste. #206, Anaheim, CA 92804 | 2006-11-27 |
| 1588678841 | Edgar A Lucidi | Technician/Technologist | 328 Hazel Drive, Corona Del Mar, CA 92625-3031 | 2006-07-29 |
| 1023030301 | Robert Arthur Yohai | Technician/Technologist | 864 2nd St, Santa Rosa, CA 95404-4610 | 2006-07-24 |
| 1255351755 | Gregory Clifton Tesluk | Technician/Technologist | 400 E Orangeburg Ave Ste 2, Modesto, CA 95350-5365 | 2006-07-20 |
| 1144248881 | J. Dennis Steen | Technician/Technologist | 1825 Main St, Susanville, CA 96130-4518 | 2006-07-18 |
| 1407891393 | Carole Ann Casteen | Technician/Technologist | 1026 Calloway Dr, Suite 200, Bakersfield, CA 93312-6337 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90029 |
Please comment or provide details below to improve the information on EYE SURGICAL MEDICAL GROUP, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.