California Eye And Ear Specialists

LBN: Trilogy Eye Medical Group, Inc.
California Eye And Ear Specialists is an health care organization with primary practice located at 207 S Santa Anita Ave Suite P-25, San Gabriel CA 91776-1146. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Other Service Providers / Specialist is the primary health care specialty. Trilogy Eye Medical Group, Inc. can be contacted via phone (626) 269-5355, or through Chang, Tom S via phone (626) 289-2223.

Contact Information

Primary practice address
207 S Santa Anita Ave Suite P-25 San Gabriel CA 91776-1146
Phone: (626) 269-5355
Fax: (626) 284-8448
Website:
Map and Directions
Authorized official contact:
Name: Chang, Tom S Doctor of Medicine (MD)
Phone: (626) 289-2223

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X California
Other Service Providers / Specialist 174400000X California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X California

Profile Details

NPI number 1235570607
LBN Legal business name Trilogy Eye Medical Group, Inc.
DBA Doing business as California Eye And Ear Specialists
Authorized official Chang, Tom S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2013
Last updated Jul 21st, 2022 - about 2 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 1235570607 NPPES
California Other FQ161A MCR(S)
California Other FQ161B MCR(S)
California MEDICAID 1114205432 MCR(S)

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