Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
Active
Organization
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM S CHANG MD (FOUNDER)
(626) 568-8838
Entity
Organization
Contact information
Practice address
40690 CALIFORNIA OAKS RD, STE. B, MURRIETA, CA 92562-1947
(951) 677-0099
(951) 698-8693
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
Primary
A69909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760541569
GROUP NPI
CA
Enumeration date
03/12/2015
Last updated
03/12/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up