NPI 1245878784
Retina Institute of California Medical Group, a California Medical Par
Practice location
- Address
- 9850 Genesee Ave STE 310, La Jolla, CA 92037-1208
- Phone
- (800) 898-2020
- Fax
- (844) 897-3788
- Mailing address
- 100 E California Blvd, Pasadena, CA 91105-3205
Authorised official
- Name
- Tom S Chang
- Title
- Ceo,partner
- Phone
- (800) 898-2020
Registered specialties (2)
Ophthalmology Physician
Primary
Optometrist
Registry record
- NPI
- 1245878784
- Entity type
- Organization
- NPI issued
- 16 Dec 2019
- Record last updated
- 13 Sep 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.