Organization
TRILOGY EYE MEDICAL GROUP, INC
Active
Other names
CALIFORNIA EYE AND EAR SPECIALISTS, ACUITY EYE SPECIALISTS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM S CHANG MD (FOUNDER/OWNER)
(626) 289-2223
Entity
Organization
Contact information
Practice address
17833 COLIMA RD, CITY OF INDUSTRY, CA 91748-1729
(626) 965-8895
(626) 965-8876
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
(626) 574-0020
(626) 574-7188
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
174400000X
Specialist
—
CA
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114205432
—
CA
01
—
FQ161A
MCR(S)
CA
01
—
FQ161B
MCR(N)
CA
Enumeration date
07/12/2013
Last updated
07/21/2022
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