NPI 1952748501

De La Pena Eye Clinic, a Medical Group, INC

Organisation Ophthalmology Physician Van Nuys, CA

Practice location

Address: 7100 van Nuys Blvd Suite 120, Van Nuys, CA 91405-3063
Phone: (818) 988-1111
Fax: (818) 988-1261
Mailing address: 401 Commerce St STE 600, Nashville, TN 37219-2518

Authorised official

Name: Mark Kelly
Title: Member, Board of Managers
Phone: (615) 345-6900

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in California →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in California →

Registry record

NPI: 1952748501
Entity type: Organization
NPI issued: 22 May 2013
Record last updated: 18 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.