Provider Demographics
NPI:1063969509
Name:EYE SPECIALISTS OF CALIFORNIA MEDICAL GROUP
Entity type:Organization
Organization Name:EYE SPECIALISTS OF CALIFORNIA MEDICAL GROUP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:SAINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-746-3937
Mailing Address - Street 1:1955 CITRACADO PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4113
Mailing Address - Country:US
Mailing Address - Phone:760-746-3937
Mailing Address - Fax:760-746-3991
Practice Address - Street 1:1955 CITRACADO PKWY STE 301
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92029-4113
Practice Address - Country:US
Practice Address - Phone:760-746-3937
Practice Address - Fax:760-746-3991
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE SPECIALISTS OF CALIFORNIA MEDICAL GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-01
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA179101332H00000X
CAA100361207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty