Retina Institute of California Medical Group

NPI #1013452572 in Yucca Valley, California

Provider Information

NPI Number: 1013452572
Entity Type: Organization
Organization Name: Retina Institute of California Medical Group
Primary Specialty: Ophthalmology
Enumeration Date: Dec 19, 2016
Last Updated: Mar 29, 2021

Practice Location

Address: 58471 29 PALMS HWY
Address 2: 203
City: Yucca Valley
State: California
ZIP Code: 92284-5818
Phone: (760) 853-3005

Authorized Official

Name: TOM S CHANG, MD
Title: OWNER
Phone: (626) 568-8838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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