California Center for Refractive Surgery a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G77461 Issued in CA

Legal business name

CALIFORNIA CENTER FOR REFRACTIVE SURGERY A MEDICAL CORPORATION

Practice address

4160 Wilshire Blvd # 2
Los Angeles, CA 90010-3567

Phone

(323) 933-3111

Fax

(323) 933-3393

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul C Lee, MDNPI 1619171428

Title

Ceo

Phone

(323) 933-3111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Alvarado Eye Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1114202892

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul C Lee, MD

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1619171428
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1770788713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 WILSHIRE BLVD FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103567",
            "telephone_number": "323-933-3111",
            "fax_number": "323-933-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 WILSHIRE BLVD # 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103567",
            "telephone_number": "323-933-3111",
            "fax_number": "323-933-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CENTER FOR REFRACTIVE SURGERY A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-933-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G77461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G77461",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• California Allergy & Asthma Medical Group Inc
• California Assisted Pharmacy, Inc
• California Breastfed Babies
• California Care Corp.
• California Center for Refractive Surgery
• California Convalescent Center 1 Inc
• California Convalescent Center 1 Inc
• California Convalescent Center, #1
• California Creative Learning Academy
• California Daily Comfort, Inc.

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.