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 1912390097

Retina Institute of California Medical Group, a California Medical Par is an Optometrist in LA Quinta, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

47474 Washington St
LA Quinta, CA 92253-8846
Phone: (760) 564-2500
Fax: (760) 564-2577
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A69909 (CA)
Optometrist Taxonomy 152W00000X · Licence A69909 (CA)

Record details

NPI number1912390097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Chang — Founder · (626) 568-8838
NPI enumeratedMarch 12, 2015
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address100 E California Blvd, Pasadena, CA 91105-3205

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