Retina Institute of California Medical Group, a California Medical Par
Retina Institute of California Medical Group, a California Medical Par is an Optometrist in Long Beach, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
3816 Woodruff Ave Ste 100Long Beach, CA 90808-2145
Phone: (562) 424-0931
Fax: (562) 492-9400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X |
|---|---|
| Optometrist | Taxonomy 152W00000X · Licence A69909 (CA) |
| Specialist | Taxonomy 174400000X · Licence A69909 (CA) |
Record details
| NPI number | 1265825327 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tom Chang — Owner · (626) 568-8838 |
| NPI enumerated | March 13, 2015 |
| Last updated in NPPES | July 19, 2021 |
| Certification date | July 19, 2021 |
| Mailing address | 100 E California Blvd, Pasadena, CA 91105-3205 |
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