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Organization

TRILOGY EYE MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TOM S CHANG MD (FOUNDER/OWNER)
(800) 898-2020
Entity
Organization

Contact information

Practice address
655 EUCLID AVE STE 302, NATIONAL CITY, CA 91950-2973
(619) 472-1010
(619) 479-5233
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 269-5330
(626) 574-0040

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760541569
CA
Enumeration date
08/15/2018
Last updated
08/15/2018
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