Organization
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Active
Other names
Acuity Eye Group
Organization subpart
No
Provider details
NPI number
Authorized official
TOM S CHANG MD (CO-CEO, MANAGING PARTNER)
(800) 898-2020
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE STE 428, LA JOLLA, CA 92037-1264
(858) 457-3010
(858) 457-0028
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(800) 898-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
07/12/2021
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