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Trilogy Eye Medical Group, Inc.

Organization Active NPI Specialist · El Centro, CA

NPI 1184017261 · NPPES record last updated Sep 18, 2017

Key facts

NPI
1184017261
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
A69909 (CA)
Legal business name
TRILOGY EYE MEDICAL GROUP, INC.
Practice address
1420 Ocotillo Dr
Suite D
El Centro, CA 92243-4254
Phone
(760) 353-1140
Fax
(760) 353-1153
NPI assigned
Mar 12, 2015
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 A69909 CA
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X A69909 CA Yes
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X CA

Addresses

Primary practice location

1420 Ocotillo Dr
Suite D
El Centro, CA 92243-4254

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (626) 568-8838

Other identifiers

IdentifierTypeStateIssuer
FQ161AOtherCAMCR(S)
1114205432MedicaidCA
FQ161BOtherCAMCR(N)

Other names

  • ACUITY EYE SPECIALISTS Doing business as
  • California Eye and Ear Specialists Doing business as

Other providers in El Centro, CA

All providers in El Centro, CA · Specialist in California

Sources for this page

Verify at the official NPI Registry.