Healthcare Provider Details

I. General information

NPI: 1932125416
Provider Name (Legal Business Name): ALLIANCE RETINA CONSULTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 10/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8262 UNIVERSITY AVE
LA MESA CA
91942-9321
US

IV. Provider business mailing address

PO BOX 927850
SAN DIEGO CA
92192-7850
US

V. Phone/Fax

Practice location:
  • Phone: 619-668-0045
  • Fax: 619-668-0074
Mailing address:
  • Phone: 619-668-0045
  • Fax: 619-668-0074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID J NAJAFI
Title or Position: OWNER
Credential: M.D.
Phone: 858-344-3750