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Organization
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Active
Organization
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM S CHANG (FOUNDER)
(626) 568-8833
Entity
Organization
Contact information
Practice address
300 S PIERCE ST # 200, EL CAJON, CA 92020-4124
(619) 440-5400
(619) 440-0239
Mailing address
288 N SANTA ANITA AVE STE 402, ARCADIA, CA 91006-3183
(800) 898-2020
(844) 897-3788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
10/13/2023
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