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General NPI Number Information
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NPI Number | 1356054803
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Entity Type | Organization
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Legal Business Name | LA MEDICAL RETINA, INC.
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 23622 CALABASAS RD STE 145
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City | CALABASAS
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State | CA
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Zip | 91302-1589
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Country | US
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Telephone | 818-797-1711
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Fax |
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Provider Business Mailing Address
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Address Line | 23622 CALABASAS RD STE 145
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City | CALABASAS
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State | CA
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Zip | 91302-1589
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Country | US
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Telephone | 818-797-1711
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAMELA GOLCHET
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Credential | MD
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Telephone | 415-310-0429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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