Organization
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM S CHANG MD (CEO, MANAGING PARTNER)
(800) 898-2020
Entity
Organization
Contact information
Practice address
5451 LA PALMA AVE STE 44, LA PALMA, CA 90623-1732
(800) 898-2020
(844) 897-3788
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
07/17/2020
Last updated
07/17/2020
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