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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 MD (PRESIDENT)
(800) 898-2020
Entity
Organization
Contact information
Practice address
1360 W 6TH ST STE 165, SAN PEDRO, CA 90732-3540
(800) 898-2020
(949) 538-3938
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
05/13/2019
Last updated
03/30/2021
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