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RETINA LOS ANGELES
NPI 1134845837
Ophthalmology - Retina Specialist in Encino, CA

Active since October 13, 2022
5400 BALBOA BLVD STE 126, ENCINO, CA 91316(818) 578-0004(818) 578-0002 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, Dec 1, 2022, Oct 13, 2022 (3 updates tracked since 2022).

About Retina Los Angeles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA LOS ANGELES (NPI 1134845837) is a healthcare organization registered as a retina specialist in Encino, California and active in the NPI registry since October 2022. The organization lists Stavros N. Moysidis, Partner / Physician, as its authorized official.

NPPES Registry Identity

NPI1134845837
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA LOS ANGELES
Location Address5400 BALBOA BLVD STE 126Encino, CA 91316-5202
Mailing Address5400 Balboa Blvd Ste 126Encino, CA 91316-5202 · (818) 578-0004 · Fax (818) 578-0002
Phone(818) 578-0004
Fax(818) 578-0002
Organization SubpartNo
Authorized OfficialStavros N. MoysidisPartner / Physician · (818) 578-0004
Enumeration DateOctober 13, 2022
Last NPPES UpdateJune 8, 20233 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1134845837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
5400 BALBOA BLVD STE 126, Encino, CA 91316
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE KOULISIS MD
Ophthalmology (Retina Specialist)
5400 BALBOA BLVD STE 126
ENCINO, CA 91316
Los Angeles County (818) 578-0004
JEFFREY W. BIRNS, M.D. A MEDICAL CORPORATION
Otolaryngology (Pediatric Otolaryngology)
5400 BALBOA BLVD STE 126
ENCINO, CA 91316
Los Angeles County (818) 905-8118
DR. STAVROS N. MOYSIDIS M.D.
Ophthalmology (Retina Specialist)
5400 BALBOA BLVD STE 126
ENCINO, CA 91316
Los Angeles County (818) 578-0004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Los Angeles's NPI number?

The NPI number for Retina Los Angeles is 1134845837. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Retina Los Angeles located?

Retina Los Angeles is located at 5400 Balboa Blvd Ste 126, Encino, CA 91316. The listed phone number is (818) 578-0004.

What is Retina Los Angeles's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

When was this NPI record last updated?

The NPPES record for Retina Los Angeles was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.