Paul B Donzis MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A42774 Issued in CA

Legal business name

PAUL B DONZIS MD INC

Practice address

4644 Lincoln Blvd
#102
Marina del Rey, CA 90292-6374

Phone

(310) 822-0022

Fax

(310) 822-9636

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Paul B Donzis, MD

Title

President Owner

Phone

(310) 822-0022

Specialties & licenses 2

Addresses

Other names 1

• Eye Institute of Marina del Rey Doing business as

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720184666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "#102",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926374",
            "telephone_number": "310-822-0022",
            "fax_number": "310-822-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4644 LINCOLN BLVD",
            "address_2": "#102",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926374",
            "telephone_number": "310-822-0022",
            "fax_number": "310-822-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B DONZIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONZIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "310-822-0022",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A42774",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A71125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Institute of Marina del Rey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anisha Sunil Patel, DO
• Keyur Arun Patel, M.D.
• Mita B Patel, M.D.
• Nita Rajani Patel, M.D.
• Mister Patterson
• Mario E. Paz, D.D.S.
• Pchung Corporation
• Michael C Pelletier, BCOM, MBA
• Ignez Jansen Penna, M.D.
• Lisa Anne Penny, M.A.

• Ophthalmology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.