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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 CHANG MD (MANAGING PARTNER)
(800) 898-2020
Entity
Organization
Contact information
Practice address
225 W MADISON AVE STE 1, EL CAJON, CA 92020-3454
(619) 442-0844
(619) 442-7399
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(951) 249-9225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/04/2019
Last updated
03/30/2021
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