Retina Institute Of California Medical Group
LBN: Retina Institute Of California Medical Group
Retina Institute Of California Medical Group is an health care organization with primary practice located at 58471 29 Palms Hwy 203, Yucca Valley CA 92284-5818. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Retina Institute Of California Medical Group can be contacted via phone (760) 853-3005, or through Chang, Tom S via phone (626) 568-8838.
Contact Information
Primary practice address
58471 29 Palms Hwy 203
Yucca Valley CA 92284-5818
Phone: (760) 853-3005
Fax: (760) 853-3012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1013452572 |
|---|---|
| LBN Legal business name | Retina Institute Of California Medical Group |
| DBA Doing business as | |
| Authorized official | Chang, Tom S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 19th, 2016 |
| Last updated | Mar 29th, 2021 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013452572 | NPPES |
| California | MEDICAID | 1760541569 |
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