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General NPI Number Information
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NPI Number | 1649211533
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Entity Type | Organization
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Legal Business Name | DARIN EYE CENTER A MEDICAL
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/06/2012
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Provider Practice Location Address
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Address Line | 14914 SHERMAN WAY
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City | VAN NUYS
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State | CA
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Zip | 91405-2113
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Country | US
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Telephone | 818-787-2020
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Fax | 818-787-8652
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Provider Business Mailing Address
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Address Line | 696 HAMPSHIRE RD SUITE 120
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2699
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Country | US
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Telephone | 818-787-2020
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Fax | 818-787-8652
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GEORGE M RAJACICH
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Credential | MD
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Telephone | 818-787-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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