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NPI Code Detail

MEDICARE: CASTER EYE CENTER MEDICAL GROUP

MEDICARE: CASTER EYE CENTER MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianG45953CA

General Provider Information

NPI Number : 1043493133
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASTER EYE CENTER MEDICAL GROUP
Provider Business Mailing Address
First Line : 9100 WILSHIRE BLVD.
Second Line : SUITE 265-E
City : BEVERLY HILLS
State : CA
Zip : 90212-3440
Country : US
Telephone Number : 310-274-1221
Fax Number : 310-274-0244
Provider Business Practice Location Address
First Line : 9100 WILSHIRE BLVD.
Second Line : SUITE 265-E
City : BEVERLY HILLS
State : CA
Zip : 90212-3440
Country : US
Telephone Number : 310-274-1221
Fax Number : 310-274-0244
Authorized Official
Title or Position : PRESIDENT
Name : ANDREW I CASTER
Credential : M.D.
Telephone Number : 310-274-1221
Provider Enumeration Date : 12/11/2007
Last Update Date : 10/02/2014

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Directions to “CASTER EYE CENTER MEDICAL GROUP ” Practice Location

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