# RETINA MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841440104
- **Authorized official:** DR. TIMOTHY YOU MD (PHYSICIAN)
- **Authorized official phone:** (714) 692-2431

## Contact information

- **Practice address:** 22451 SILVER SPUR, LAKE FOREST, CA 92630-4342
- **Practice address phone:** (714) 692-2431
- **Mailing address:** 22451 SILVER SPUR, LAKE FOREST, CA 92630-4342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G80625 | CA | Yes |

## Other

- **Enumeration date:** 09/23/2008
- **Last updated:** 09/23/2008
