Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Moritz Sebastian Pettenkofer, MD

Individual provider Retina Specialist (Ophthalmology) Physician · NPI 1194455188

Dr. Moritz Sebastian Pettenkofer, MD is an Ophthalmology in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Jules Stein Eye Institute Medical Group, a 117-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Stein Plaza Driveway 3rd Fl
Los Angeles, CA 90095-0001
Phone: (310) 206-5004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence SPI621 (CA)

Record details

NPI number1194455188
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jules Stein Eye Institute Medical Group — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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