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 1720644081

Retina Institute of California Medical Group, a California Medical Par is an Optometrist in San Pedro, California. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

1360 W 6th St Ste 165
San Pedro, CA 90732-3540
Phone: (800) 898-2020
Fax: (949) 538-3938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1720644081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Chang — President · (800) 898-2020
NPI enumeratedMay 13, 2019
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address100 E California Blvd, Pasadena, CA 91105-3205

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