<Unavail>
LBN: Trilogy Eye Medical Group, Inc.
<Unavail> is an health care organization with primary practice located at 2240 N Harbor Blvd 210, Fullerton CA 92835-2631. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Other Service Providers / Specialist is the primary health care specialty.
Trilogy Eye Medical Group, Inc. can be contacted via phone (714) 278-1834, or through Chang, Tom S. via phone (626) 568-8838.
Contact Information
Primary practice address
2240 N Harbor Blvd 210
Fullerton CA 92835-2631
Phone: (714) 278-1834
Fax: (714) 278-1839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | A69909 | California |
| Other Service Providers / Specialist | 174400000X | A69909 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | California |
Profile Details
| NPI number | 1033502273 |
|---|---|
| LBN Legal business name | Trilogy Eye Medical Group, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Chang, Tom S. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 12th, 2015 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033502273 | NPPES |
| California | Other | FQ161B | MCR(N) |
| California | Other | FQ161A | MCR(N) |
| California | MEDICAID | 1114205432 | MCR(N) |
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