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TRILOGY EYE MEDICAL GROUP INC. NPI 1811442056


NPI Information

NPI: 1811442056
Provider Name: TRILOGY EYE MEDICAL GROUP, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
301 W HUNTINGTON DR
SUITE 107
ARCADIA, CA
ZIP 91007
Phone: (626) 574-0188
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TRILOGY EYE MEDICAL GROUP, INC. is a specialist in Arcadia, 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 1811442056. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

301 W HUNTINGTON DR
SUITE 107
ARCADIA, CA
ZIP 91007-462
Phone: (626) 574-0188
Fax: (626) 574-0488

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 enumeration date for this NPI number is 8/17/2016 and was last updated on 8/17/2016.


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
1152W00000XOptometristCALIFORNIANo
2174400000XSpecialistCALIFORNIAYes

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
11114205432OTHERCALIFORNIAGROUP NPI
2FQ161AMEDICARE UPINCALIFORNIA
3FQ161BMEDICARE UPINCALIFORNIA

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: 4/28/2024

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