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Organization
TRILOGY EYE MEDICAL GROUP, INC.
Active
Organization
TRILOGY EYE MEDICAL GROUP, INC.
Active
Other names
ACUITY EYE SPECIALISTS
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
1801 E TAHQUITZ CANYON WAY STE 200, PALM SPRINGS, CA 92262-7123
(760) 327-2700
(760) 327-2799
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
—
CA
174400000X
Specialist
Primary
—
CA
207W00000X
Ophthalmology Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114205432
—
CA
01
—
FQ161A
MCR(S)
CA
01
—
FQ161B
MCR(N)
CA
Enumeration date
08/17/2016
Last updated
07/21/2022
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