Retina Institute of California Medical Group, a California Medical Par
NPI #1689176380 in Alpine, California
Provider Information
- NPI Number
- 1689176380
- Entity Type
- Organization
- Organization Name
- Retina Institute of California Medical Group, a California Medical Par
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 1620 ALPINE BLVD STE 117
- City
- Alpine
- State
- California
- ZIP Code
- 91901-1103
- Phone
- (619) 455-2687
Authorized Official
- Name
- TOM S CHANG
- Title
- FOUNDER
- Phone
- (626) 568-8833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
| Ophthalmology |
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