Organization
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM S CHANG (FOUNDER)
(626) 568-8833
Entity
Organization
Contact information
Practice address
1620 ALPINE BLVD STE 117, ALPINE, CA 91901-1103
(619) 455-2687
(619) 445-0801
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 568-8838
(626) 574-7188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/30/2021
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