Active NPI
Friendly Eye Medical Group Inc
- Ophthalmology Physician
- La Palma, CA
National Provider Identifier
1922180843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- FRIENDLY EYE MEDICAL GROUP INC
- Practice address
- 5451 La Palma Ave #44
La Palma, CA 90623 - Phone
- (714) 521-2290
- Fax
- (714) 521-9240
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yadavinder Dang
- Title
- President
- Phone
- (714) 521-2290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
5451 La Palma Ave #44
La Palma, CA 90623
Mailing address
5451 La Palma Ave #44
La Palma, CA 90623
Phone (714) 521-2290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0085830 | Medicaid | CA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Optometrist
- Torrance, CA
- NPI 1538725809
Member Of
Locations
12465 Putnam St Ste 203
Whittier, CA 90602
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193961600000",
"number": "1922180843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5451 LA PALMA AVE #44",
"city": "LA PALMA",
"state": "CA",
"postal_code": "90623",
"telephone_number": "714-521-2290",
"fax_number": "714-521-9240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5451 LA PALMA AVE #44",
"city": "LA PALMA",
"state": "CA",
"postal_code": "90623",
"telephone_number": "714-521-2290",
"fax_number": "714-521-9240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRIENDLY EYE MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2007-11-02",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "YADAVINDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-521-2290"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0085830",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Palma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.