Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Retina Institute of California Medical Group

Organization Optometrist · NPI 1013452572

Retina Institute of California Medical Group is an Optometrist in Yucca Valley, California. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

58471 29 Palms Hwy 203
Yucca Valley, CA 92284-5818
Phone: (760) 853-3005
Fax: (760) 853-3012
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1013452572
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Chang — Owner · (626) 568-8838
NPI enumeratedDecember 19, 2016
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address100 E California Blvd, Pasadena, CA 91105-3205

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