Retina Institute Of California Medical Group, A California Medical Par
Ophthalmology in La Jolla, CA. Organization (NPI-2).
NPI number1003449604
StatusActive
Last updated in NPPESJul 12, 2021
Details
- NPI
- 1003449604
- Entity type
- Organization (NPI-2)
- Legal business name
- Retina Institute Of California Medical Group, A California Medical Par
- Organization subpart
- No
- Enumeration date
- Feb 21, 2020
- Certification date
- Jul 12, 2021
- Last updated
- Jul 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – |
Other names
- Acuity Eye Group (Doing Business As)
Practice location
9834 Genesee Ave Ste 428La Jolla, CA 92037-1264
Phone 858-457-3010 · Fax 858-457-0028
Mailing address
100 E California BlvdPasadena, CA 91105-3205
Phone 800-898-2020
Authorized official
Tom S Chang
Co-Ceo, Managing Partner
8008982020
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