Retina Institute Of California

LBN: Retina Institute Of California
Retina Institute Of California is an health care organization with primary practice located at 5565 Grossmont Center Dr # 2-3 , La Mesa CA 91942-3020. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Retina Institute Of California can be contacted via phone (619) 697-4600, or through Chang, Tom S via phone (800) 898-2020.

Contact Information

Primary practice address
5565 Grossmont Center Dr # 2-3 La Mesa CA 91942-3020
Phone: (619) 697-4600
Fax: (619) 445-5526
Website:
Map and Directions
Authorized official contact:
Name: Chang, Tom S Doctor of Medicine (MD)
Phone: (800) 898-2020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X California

Profile Details

NPI number 1871016808
LBN Legal business name Retina Institute Of California
DBA Doing business as
Authorized official Chang, Tom S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871016808 NPPES
California MEDICAID 1760541569

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