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TRILOGY EYE MEDICAL GROUP INC. NPI 1235570607


NPI Information

NPI: 1235570607
Provider Name: TRILOGY EYE MEDICAL GROUP, INC.

Doing Business As: CALIFORNIA EYE AND EAR SPECIALISTS

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
207 S SANTA ANITA AVE
SUITE P-25
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 269-5355
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TRILOGY EYE MEDICAL GROUP, INC. is a specialist in San Gabriel, 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 1235570607. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Eye And Ear Specialists.

The provider's business location address is:

207 S SANTA ANITA AVE
SUITE P-25
SAN GABRIEL, CA
ZIP 91776-146
Phone: (626) 269-5355
Fax: (626) 284-8448

The provider's authorized official is Tom S Chang .
The authorized official title is Founder/owner and has the following contact phone number (626) 289-2223.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristCALIFORNIANo
2207W00000XOphthalmologyNo
3207WX0107XOphthalmologyRetina SpecialistCALIFORNIANo
4174400000XSpecialistCALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FQ161AOTHERCALIFORNIAMCR(S)
2FQ161BOTHERCALIFORNIAMCR(N)
31114205432MEDICAIDCALIFORNIA

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: 5/5/2024

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