Healthcare Provider Details

I. General information

NPI: 1619889383
Provider Name (Legal Business Name): CALIFORNIA CATARACT AND RETINA INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N MOUNTAIN AVE STE 101
UPLAND CA
91786-5177
US

IV. Provider business mailing address

400 N MOUNTAIN AVE STE 101
UPLAND CA
91786-5177
US

V. Phone/Fax

Practice location:
  • Phone: 909-914-7203
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: HARRIS AHMED
Title or Position: OWNER
Credential:
Phone: 951-858-3747