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 S CHANG MD (CEO, MANAGING PARTNER)
(626) 568-8838
Entity
Organization
Contact information
Practice address
655 EUCLID AVE, 302, NATIONAL CITY, CA 91950-5164
(619) 472-1010
(619) 479-5233
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760541569
—
CA
05
—
W20602
—
CA
Enumeration date
09/01/2017
Last updated
07/28/2021
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