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RETINAL CONSULTANTS OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC
NPI 1700807815
Specialist in Westlake Village, CA

Active since July 22, 2006
1220 LA VENTA DR, SUITE 211, WESTLAKE VILLAGE, CA 91361(805) 379-0200(805) 496-5204 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 1, 2021, Jun 1, 2017 (2 updates tracked since 2017).

About Retinal Consultants Of Southern California Medical Group, Inc NPPES

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

RETINAL CONSULTANTS OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC (NPI 1700807815) is a healthcare organization registered as a specialist in Westlake Village, California and active in the NPI registry since July 2006. The organization lists Kenneth Robert Diddie, President, as its authorized official.

NPPES Registry Identity

NPI1700807815
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRETINAL CONSULTANTS OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC
Location Address1220 LA VENTA DR, SUITE 211Westlake Village, CA 91361-3703
Mailing Address1220 La Venta Dr, Suite 211Westlake Village, CA 91361-3703 · (805) 379-0200 · Fax (805) 496-5204
Phone(805) 379-0200
Fax(805) 496-5204
Organization SubpartNo
Authorized OfficialKenneth Robert DiddiePresident · (805) 379-0200
Enumeration DateJuly 22, 2006
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1700807815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G33939
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1220 LA VENTA DR, Westlake Village, CA 91361
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Other Identifiers 2

OtherCP5288CA · Railroad Medicare
Medicaid00G339391CA

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

MS. CARLA SPERLING PT
Physical Therapist
1220 LA VENTA DR, 102
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 777-7370
VIBHAY PRASAD, M.D., INC
Physical Medicine & Rehabilitation
1220 LA VENTA DR, SUITE 104
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 496-4020
VIBHAY PRASAD M.D.
Physical Medicine & Rehabilitation
1220 LA VENTA DR, SUITE 104
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 496-4020
WESTLAKE PHYSICAL THERAPY, INC.
Physical Therapist
1220 LA VENTA DR, SUITE 102
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 777-7370
MR. ANTHONY VASQUEZ P.T.
Physical Therapist
1220 LA VENTA DR, SUITE 102
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 777-7370
MRS. BRIDGET MOLINAR M.P.T.
Physical Therapist
1220 LA VENTA DR, SUITE 102
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 777-7370
MRS. JANICE HYLLENGREN D.P.T.
Physical Therapist
1220 LA VENTA DR, SUITE 102
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 777-7370
LAWRENCE NAPOLEON BORELLI MD
Orthopaedic Surgery
1220 LA VENTA DR, STE 201
WESTLAKE VLG, CA 91361
Los Angeles County (805) 381-1953

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 Retinal Consultants Of Southern California Medical Group, Inc's NPI number?

The NPI number for Retinal Consultants Of Southern California Medical Group, Inc is 1700807815. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Retinal Consultants Of Southern California Medical Group, Inc located?

Retinal Consultants Of Southern California Medical Group, Inc is located at 1220 La Venta Dr Suite 211, Westlake Village, CA 91361. The listed phone number is (805) 379-0200.

What is Retinal Consultants Of Southern California Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Retinal Consultants Of Southern California Medical Group, Inc was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.