Glendale Retina Associates Medical Group Inc.

NPI #1609989425 in Glendale, California

Provider Information

NPI Number: 1609989425
Entity Type: Organization
Organization Name: Glendale Retina Associates Medical Group Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Aug 16, 2006
Last Updated: Sep 21, 2007

Practice Location

Address: 1025 N BRAND BLVD
Address 2: SUITE 200
City: Glendale
State: California
ZIP Code: 91202-2950
Phone: (818) 230-2140

Authorized Official

Name: SANJAY LOGANI, MD
Title: PRESIDENT
Phone: (818) 886-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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