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Organization
TRILOGY EYE MEDICAL GROUP, INC.
Active
Organization
TRILOGY EYE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM S CHANG M.D. (FOUNDER)
(626) 568-8838
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD, 220, COSTA MESA, CA 92627-3786
(949) 873-5046
(949) 873-5394
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(888) 884-3805
(626) 796-7657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114205432
—
CA
Enumeration date
05/02/2016
Last updated
07/16/2016
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