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 CHANG (FOUNDER/OWNER)
(626) 568-8838
Entity
Organization
Contact information
Practice address
1640 NEWPORT BLVD STE 220, COSTA MESA, CA 92627-3786
(949) 876-5046
(949) 573-5394
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(800) 898-2020
(626) 577-2100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
A69909
CA
207W00000X
Ophthalmology Physician
Primary
A69909
CA
Other
Enumeration date
02/22/2016
Last updated
04/06/2022
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