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

Retina Institute of California Medical Group, a California Medical Par

Organization Optometrist · NPI 1689176380

Retina Institute of California Medical Group, a California Medical Par is an Optometrist in Alpine, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

1620 Alpine Blvd Ste 117
Alpine, CA 91901-1103
Phone: (619) 455-2687
Fax: (619) 445-0801
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 number1689176380
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Chang — Founder · (626) 568-8833
NPI enumeratedMarch 8, 2018
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address100 E California Blvd, Pasadena, CA 91105-3205

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