| Retina Institute Of California Medical Group, A California Medical Par | |
|
81893 Doctor Carreon Blvd Ste 2 Indio CA 92201-5592 | |
| (760) 342-9991 | |
| (844) 897-3788 |
| Full Name | Retina Institute Of California Medical Group, A California Medical Par |
|---|---|
| Speciality | Ophthalmology - Retina Specialist |
| Location | 81893 Doctor Carreon Blvd Ste 2, Indio, California |
| Authorized Official Name and Position | Tom S Chang (MANAGING PARTNER) |
| Authorized Official Contact | 8008982020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Retina Institute Of California Medical Group, A California Medical Par 288 N Santa Anita Ave Ste 402 Arcadia CA 91006-3183 Ph: (800) 898-2020 | Retina Institute Of California Medical Group, A California Medical Par 81893 Doctor Carreon Blvd Ste 2 Indio CA 92201-5592 Ph: (760) 342-9991 |
| NPI Number | 1063009637 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063009637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | (* (Not Available)) | Primary |
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