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NPI Code Detail

MEDICARE: OCULAR INSTITUTE OF CALIFORNIA, A MEDICAL CORPORATION

MEDICARE: OCULAR INSTITUTE OF CALIFORNIA, A MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistA62421CA

General Provider Information

NPI Number : 1518132596
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCULAR INSTITUTE OF CALIFORNIA, A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 708
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-0708
Country : US
Telephone Number : 626-485-4007
Fax Number :
Provider Business Practice Location Address
First Line : 17833 COLIMA RD
Second Line :
City : CITY OF INDUSTRY
State : CA
Zip : 91748-1729
Country : US
Telephone Number : 626-964-8864
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVEN SHUOH-TYNG MA
Credential : M.D.
Telephone Number : 626-485-4007
Provider Enumeration Date : 04/29/2008
Last Update Date : 04/29/2008

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