Trilogy Eye Medical Group, Inc.
LBN: Trilogy Eye Medical Group, Inc.
Trilogy Eye Medical Group, Inc. is an health care organization with primary practice located at 1640 Newport Blvd 220, Costa Mesa CA 92627-3786. 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.
Trilogy Eye Medical Group, Inc. can be contacted via phone (949) 873-5046, or through Chang, Tom S via phone (626) 568-8838.
Contact Information
Primary practice address
1640 Newport Blvd 220
Costa Mesa CA 92627-3786
Phone: (949) 873-5046
Fax: (949) 873-5394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1043665615 |
|---|---|
| LBN Legal business name | Trilogy Eye Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Chang, Tom S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2016 |
| Last updated | Jul 16th, 2016 - about 8 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 | 1043665615 | NPPES |
| California | MEDICAID | 1114205432 |
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