NPIMap

Trilogy Eye Medical Group, Inc.

Organization Active NPI Specialist · Costa Mesa, CA

NPI 1043665615 · NPPES record last updated Jul 16, 2016

Key facts

NPI
1043665615
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
TRILOGY EYE MEDICAL GROUP, INC.
Practice address
1640 Newport Blvd
220
Costa Mesa, CA 92627-3786
Phone
(949) 873-5046
Fax
(949) 873-5394
NPI assigned
May 2, 2016
Organization subpart
No

Authorized official

Name
Dr. Tom S Chang, M.D.
Title
Founder
Phone
(626) 568-8838

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

National Provider Directory

Tax ID family
Trilogy Eye Medical Group Inc (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP		 152W00000X
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X Yes

Addresses

Primary practice location

1640 Newport Blvd
220
Costa Mesa, CA 92627-3786

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (888) 884-3805

Other identifiers

IdentifierTypeStateIssuer
1114205432MedicaidCA

Other providers in Costa Mesa, CA

All providers in Costa Mesa, CA · Specialist in California

Sources for this page

Verify at the official NPI Registry.