NPI Registry.org

Retina Institute Of California Medical Group, A California Medical Par

NPI Registration Record

Provider / OrganizationNPIDate Certified
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR10034496042021-07-12

The organization Retina Institute Of California Medical Group, A California Medical Par is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1003449604. Registration indicates Retina Institute Of California Medical Group, A California Medical Par is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers) Access to Ophthalmic Care (Allopathic & Osteopathic Physicians, Ophthalmology) (Allopathic & Osteopathic Physicians, Ophthalmology) (Ophthalmology, ) (Vision/Audiology, ) (Ophthalmology, Allopathic & Osteopathic Physicians)

Entity TypeOrganization
Provider OrganizationRETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Other Provider OrganizationACUITY EYE GROUP
Practice Office Address9834 GENESEE AVE STE 428
LA JOLLA, CA US
Practice Office Telephone8584573010
Practice Office Fax8584570028
Mailing Address100 E CALIFORNIA BLVD
PASADENA, CA 911053205 US
Business Telephone8008982020
Authorized OfficialTOM S CHANG, CO-CEO, MANAGIN
8008982020
HPT Codes
CodePractice
License No
State
152W00000XAccess to Ophthalmic Care
Eye & Vision Services Providers
Optometrist
Eye and Vision Services Providers
Optometrist
Optometrist

Vision/Audiology

Optometrist
Eye and Vision Services Providers
207W00000X PRIMARYAccess to Ophthalmic Care
Allopathic & Osteopathic Physicians
Ophthalmology
Allopathic & Osteopathic Physicians
Ophthalmology
Ophthalmology

Vision/Audiology

Ophthalmology
Allopathic & Osteopathic Physicians
193200000X MULTGroup Code
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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