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 1360 W 6Th St Ste 165 , San Pedro CA 90732-3540. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Retina Institute Of California Medical Group, A California Medical Par can be contacted via phone (800) 898-2020, or through Chang, Tom S via phone (800) 898-2020.

Contact Information

Primary practice address
1360 W 6Th St Ste 165 San Pedro CA 90732-3540
Phone: (800) 898-2020
Fax: (949) 538-3938
Website:
Map and Directions
Authorized official contact:
Name: Chang, Tom S Doctor of Medicine (MD)
Phone: (800) 898-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1720644081
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 May 13th, 2019
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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