South La Eye Clinic
NPI 1710706874 · Ophthalmology Physician · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
South La Eye Clinic is a Ophthalmology Physician organization in Los Angeles, CA (NPI 1710706874).
Provider details
- NPI number
- 1710706874
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luis Maldonado, Office Manager(760) 996-3507
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-07
- Last updated
- 2024-10-07
- Certified
- 2024-10-07
Frequently asked questions
- What is South La Eye Clinic's NPI number?
- South La Eye Clinic's National Provider Identifier (NPI) is 1710706874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South La Eye Clinic?
- South La Eye Clinic is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is South La Eye Clinic located?
- South La Eye Clinic's practice location on file with NPPES is 231 W Vernon Ave Ste 104, Los Angeles, CA 90037-2778.
- What is South La Eye Clinic's phone number?
- The practice phone number listed in the NPPES registry for South La Eye Clinic is (323) 233-6271.
- Does South La Eye Clinic accept Medicare?
- South La Eye Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for South La Eye Clinic?
- The authorized official listed on South La Eye Clinic's NPPES record is Luis Maldonado, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South La Eye Clinic's NPI active?
- Yes — South La Eye Clinic's NPI (1710706874) is active in the NPPES registry as of the last update on 2024-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.