Healthcare Provider Details

I. General information

NPI: 1528943925
Provider Name (Legal Business Name): JULES STEIN EYE INSTITUTE MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ORANGE GROVE BLVD STE 1400
PASADENA CA
91103-3534
US

IV. Provider business mailing address

FILE 2939
LOS ANGELES CA
90074-2939
US

V. Phone/Fax

Practice location:
  • Phone: 626-817-4747
  • Fax: 626-817-4748
Mailing address:
  • Phone: 310-301-8750
  • Fax: 310-301-8751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE HALE
Title or Position: DIRECTOR OF ACCOUNTING
Credential:
Phone: 310-301-5311