# CALIFORNIA VISION AND VISAGE MEDICAL GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** California Vision and Visage
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609105451
- **Authorized official:** ADAM HSU M.D. (MANAGER/OFFICER)
- **Authorized official phone:** (773) 320-1902

## Contact information

- **Practice address:** 18575 GALE AVE, SUITE 168, CITY OF INDUSTRY, CA 91748-1340
- **Practice address phone:** (773) 320-1902
- **Mailing address:** 18575 GALE AVE, SUITE 168, CITY OF INDUSTRY, CA 91748-1340

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2009
- **Last updated:** 12/08/2009