East Bay Retina Consultants a Medical Group, Inc.

NPI #1790965341 in Oakland, California

Provider Information

NPI Number: 1790965341
Entity Type: Organization
Organization Name: East Bay Retina Consultants a Medical Group, Inc.
Primary Specialty: Ophthalmology
Enumeration Date: Nov 13, 2007
Last Updated: Apr 13, 2023

Practice Location

Address: 3300 TELEGRAPH AVE.
City: Oakland
State: California
ZIP Code: 94609-3028
Phone: (510) 444-1600

Authorized Official

Name: SOON T. LEE, M.D.
Title: CORPORATE VICE PRESIDENT
Phone: (510) 444-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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