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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
Other names
Acuity Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM S. CHANG M.D. (CEO)
(626) 568-8838
Entity
Organization
Contact information
Practice address
12828 HARBOR BLVD STE 330, GARDEN GROVE, CA 92840-5834
(714) 534-8100
(714) 534-1345
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 568-8838
(626) 574-7188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
A69909
CA
174400000X
Specialist
A69909
CA
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/12/2015
Last updated
10/17/2024
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