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Organization
TRILOGY EYE MEDICAL GROUP, INC.
Active
Organization
TRILOGY EYE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM S. CHANG M.D. (FOUNDER)
(626) 568-8838
Entity
Organization
Contact information
Practice address
47474 WASHINGTON ST, LA QUINTA, CA 92253-8846
(760) 564-2500
(760) 564-2577
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 568-8838
(626) 796-7657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
CA
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114205432
GROUP NPI
CA
Enumeration date
08/17/2016
Last updated
04/01/2019
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