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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 Optical
Organization subpart
No
Provider details
NPI number
Authorized official
TOM S CHANG MD (CEO, MANAGING PARTNER)
(800) 898-2020
Entity
Organization
Contact information
Practice address
81952 US HIGHWAY 111, SUITE B, C, D, INDIO, CA 92201-9716
(442) 300-9209
(442) 300-9266
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(800) 898-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
08/19/2021
Last updated
10/26/2021
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