Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Retinal Consultants of Southern California Medical Group, Inc

Organization Specialist · NPI 1700807815

Retinal Consultants of Southern California Medical Group, Inc provides Specialist services in Westlake Village, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1220 La Venta Dr Ste 211
Westlake Village, CA 91361-3703
Phone: (805) 379-0200
Fax: (805) 496-5204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence G33939 (CA)

Record details

NPI number1700807815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Diddie — President · (805) 379-0200
NPI enumeratedJuly 22, 2006
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing address1220 La Venta Dr, Suite 211, Westlake Village, CA 91361-3703

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