Retina Institute Of California Medical Group, A California Medical Par

LBN: Retina Institute Of California Medical Group, A California Medical Par
Retina Institute Of California Medical Group, A California Medical Par is an health care organization with primary practice located at 1420 Ocotillo Dr D, El Centro CA 92243-4254. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist. Other Service Providers / Specialist is the primary health care specialty. Retina Institute Of California Medical Group, A California Medical Par can be contacted via phone (760) 353-1140, or through Chang, Tom S via phone (626) 568-8838.

Contact Information

Primary practice address
1420 Ocotillo Dr D El Centro CA 92243-4254
Fax: (760) 353-1153
Website:
Authorized official contact:
Name: Chang, Tom S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X A69909 California
Other Service Providers / Specialist 174400000X A69909 California

Profile Details

NPI number 1679966733
LBN Legal business name Retina Institute Of California Medical Group, A California Medical Par
DBA Doing business as
Authorized official Chang, Tom S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2015
Last updated Mar 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679966733 NPPES
California Other 1760541569 GROUP NPI

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