Retina Institute of California Medical Group, a California Medical Par
NPI #1003449604 in La Jolla, California
Provider Information
- NPI Number
- 1003449604
- Entity Type
- Organization
- Organization Name
- Retina Institute of California Medical Group, a California Medical Par
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Feb 21, 2020
- Last Updated
- Jul 12, 2021
Practice Location
- Address
- 9834 GENESEE AVE STE 428
- City
- La Jolla
- State
- California
- ZIP Code
- 92037-1264
- Phone
- (858) 457-3010
Authorized Official
- Name
- TOM S CHANG, MD
- Title
- CO-CEO, MANAGING PARTNER
- Phone
- (800) 898-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Ophthalmology |
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