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
DR. TOM S CHANG MD (MANAGING PARTNER)
(626) 568-8838
Entity
Organization
Contact information
Practice address
2400 N BROADWAY, LOS ANGELES, CA 90031-2219
(323) 221-6186
(323) 221-0738
Mailing address
288 N SANTA ANITA AVE STE 402, ARCADIA, CA 91006-3183
(800) 898-2020
(844) 897-3788
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
A69909
CA
174400000X
Specialist
A69909
CA
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760541569
GROUP NPI
CA
Enumeration date
03/13/2015
Last updated
08/01/2025
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