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TRILOGY EYE MEDICAL GROUP INC. NPI 1184017261


NPI Information

NPI: 1184017261
Provider Name: TRILOGY EYE MEDICAL GROUP, INC.

Doing Business As: CALIFORNIA EYE AND EAR SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0956124

Address:
1420 OCOTILLO DR
SUITE D
EL CENTRO, CA
ZIP 92243
Phone: (760) 353-1140
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TRILOGY EYE MEDICAL GROUP, INC. is a specialist in El Centro, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TRILOGY EYE MEDICAL GROUP, INC. NPI is 1184017261. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As California Eye And Ear Specialists.

The provider's business location address is:

1420 OCOTILLO DR
SUITE D
EL CENTRO, CA
ZIP 92243-254
Phone: (760) 353-1140
Fax: (760) 353-1153

The provider's authorized official is Tom S. Chang .
The authorized official title is Founder and has the following contact phone number (626) 568-8838.

The CLIA number assigned to this NPI record is 05D0956124 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/12/2015 and was last updated on 9/18/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristA69909CALIFORNIANo
2174400000XSpecialistA69909CALIFORNIAYes
3207W00000XOphthalmologyCALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FQ161BMEDICARE UPINCALIFORNIA
2FQ161AMEDICARE UPINCALIFORNIA
3FQ161AOTHERCALIFORNIAMCR(S)
41114205432MEDICAIDCALIFORNIA
5FQ161BOTHERCALIFORNIAMCR(N)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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