Organization
TRILOGY EYE MEDICAL GROUP, INC.
Active
Other names
California Eye and Ear Specialists, ACUITY EYE SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM S CHANG M (FOUNDER)
(626) 568-8838
Entity
Organization
Contact information
Practice address
4344 CONVOY ST STE C2, SAN DIEGO, CA 92111-3737
(858) 565-8822
(858) 565-2449
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 568-8838
(626) 577-2100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
CA
174400000X
Specialist
—
CA
207W00000X
Ophthalmology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114205432
—
CA
01
—
FQ161A
MCR (S)
CA
01
—
FQ161B
MCR (N)
CA
Enumeration date
04/28/2016
Last updated
07/21/2022
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