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General NPI Number Information
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NPI Number | 1912390097
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Entity Type | Organization
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Legal Business Name | RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 47474 WASHINGTON ST
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City | LA QUINTA
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State | CA
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Zip | 92253-8846
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Country | US
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Telephone | 760-564-2500
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Fax | 760-564-2577
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Provider Business Mailing Address
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Address Line | 100 E CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91105-3205
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Country | US
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Telephone | 626-568-8838
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Fax | 626-574-7188
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. TOM S. CHANG
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Credential | M.D.
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Telephone | 626-568-8838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | A69909
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A69909
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License Number State | CA
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