East Bay Retina Consultants a Medical Group, Inc.
NPI #1578509667 in San Ramon, California
Provider Information
- NPI Number
- 1578509667
- Entity Type
- Organization
- Organization Name
- East Bay Retina Consultants a Medical Group, Inc.
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Jun 20, 2006
- Last Updated
- Feb 29, 2016
Practice Location
- Address
- 5401 NORRIS CANYON RD
- Address 2
- SUITE 200
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-5409
- Phone
- (510) 444-1600
Authorized Official
- Name
- SOON T LEE, M.D.
- Title
- CORPORATE VICE PRESIDENT
- Phone
- (510) 444-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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