Los Angeles Ophthalmology Medical Group, Inc.

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

FNP40021 Issued in CA

Legal business name

LOS ANGELES OPHTHALMOLOGY MEDICAL GROUP, INC.

Practice address

323 N Prairie Ave
Suite 201
Inglewood, CA 90301-4502

Phone

(310) 673-5774

Fax

(310) 673-9729

NPI assigned

Jul 15, 2015

Last updated

Jul 15, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard Casey, M.D.

Title

President

Phone

(310) 673-5774

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1356725816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 90619",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900099998",
            "telephone_number": "310-673-5774",
            "fax_number": "310-673-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N PRAIRIE AVE",
            "address_2": "SUITE 201",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014502",
            "telephone_number": "310-673-5774",
            "fax_number": "310-673-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES OPHTHALMOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-673-5774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "FNP40021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Los Angeles County
• Los Angeles County Department of Mental Health (DMH DHS Collaboration Curtis Tucker HC)
• Los Angeles County Department of Mental Health (Imet)
• Los Angeles Drug Treatment Center
• Los Angeles Multispecialty Medical Group
• Los Angeles Peripheral Arterial Disease Center Medical Group
• Los Angeles Surgical Center
• Los Angeles Wide Community Support Services LLC (L.a. Wide CSS)
• Mark Lott, M.D.
• Matthew J Lotysch, M.D.

• Ophthalmologic Surgery Clinic/Center in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.