Southern California Retina Specialists, Inc.
NPI 1407214489ActiveOrganization· Ophthalmology· West Hills, CA
Ophthalmology in West Hills, California, registered in NPPES in February 2016. The authorized official on file is David S. Kim, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407214489 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2016 |
| Last updated in NPPES | Feb 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | A79690 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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