Retina Institute of California Medical Group, a California Medical Par
NPI #1679249676 in Indio, California
Provider Information
- NPI Number
- 1679249676
- Entity Type
- Organization
- Organization Name
- Retina Institute of California Medical Group, a California Medical Par
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 19, 2021
- Last Updated
- Oct 26, 2021
Practice Location
- Address
- 81952 US HIGHWAY 111
- Address 2
- SUITE B, C, D
- City
- Indio
- State
- California
- ZIP Code
- 92201-9716
- Phone
- (442) 300-9209
Authorized Official
- Name
- TOM S CHANG, MD
- Title
- CEO, MANAGING PARTNER
- Phone
- (800) 898-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
| Optometrist |
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