Advanced Eye & Laser Center of California Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A79141 Issued in CA

Legal business name

ADVANCED EYE & LASER CENTER OF CALIFORNIA INC

Practice address

10737 Camino Ruiz
Suite 100
San Diego, CA 92126-2359

Phone

(858) 549-3200

Fax

(858) 549-3207

NPI assigned

Jan 2, 2007

Last updated

Nov 2, 2010By 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

Paul Dong Huynh, MDNPI 1871577056

Title

MD

Phone

(858) 549-3200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Dong Huynh, M.D.

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1871577056
  Medicare reassignment NPD Authorized official
• Ryan Phan, MD

  • Ophthalmology Physician
  • San Diego, CA
  • NPI 1588027213
  Medicare reassignment NPD
• Mai T Dinh, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1811277569
  NPD (past)
• Douglas G Miller, MD

  • Ophthalmology Physician
  • El Cajon, CA
  • NPI 1982636031
  NPD (past)
• Ryan Cao Vinh Phan, MD

  • Student in an Organized Health Care Education/Training Program
  • Torrance, CA
  • NPI 1063090199
  NPD (past)
• Susan Jean Lee, M.D.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1871547752
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1477610558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262370",
            "telephone_number": "858-549-3200",
            "fax_number": "858-549-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 CAMINO RUIZ",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262359",
            "telephone_number": "858-549-3200",
            "fax_number": "858-549-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYE & LASER CENTER OF CALIFORNIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DONG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "858-549-3200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A79141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A791410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adult Protective Services
• Advance Care Specialist Medical Clinic
• Advanced California Medical Center, Inc.
• Advanced Clinical Research Center
• Advanced DME Services, Inc. (Advanced Homecare)
• Advanced Family Counseling of San Diego Prof Corp
• Advanced Healthcare Center Apc
• Advanced Home Care Services LLC
• Advanced Home Health Care Inc
• Advanced Home Health San Diego Inc

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.