# RETINA INSTITUTE OF CALIFORNIA

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

## Provider details

- **NPI number:** 1871016808
- **Authorized official:** TOM S CHANG MD (FOUNDER)
- **Authorized official phone:** (800) 898-2020

## Contact information

- **Practice address:** 5565 GROSSMONT CENTER DR \# 2-3, LA MESA, CA 91942-3020
- **Practice address phone:** (619) 697-4600
- **Practice address fax:** (619) 445-5526
- **Mailing address:** 100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
- **Mailing address phone:** (626) 568-8838
- **Mailing address fax:** (626) 583-8838

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2017
- **Last updated:** 07/21/2022
