NPI 1003449604
Retina Institute of California Medical Group, a California Medical Par
Practice location
- Address
- 9834 Genesee Ave STE 428, La Jolla, CA 92037-1264
- Phone
- (858) 457-3010
- Fax
- (858) 457-0028
- Mailing address
- 100 E California Blvd, Pasadena, CA 91105-3205
Authorised official
- Name
- Tom S Chang
- Title
- Co-Ceo, Managing Partner
- Phone
- (800) 898-2020
Registered specialties (2)
Ophthalmology Physician
Primary
Optometrist
Registry record
- NPI
- 1003449604
- Entity type
- Organization
- NPI issued
- 21 Feb 2020
- Record last updated
- 12 Jul 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.