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RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
NPI 1659764736
Specialist in Menifee, CA

Active since March 12, 2015
29950 HAUN RD, SUITE 202, MENIFEE, CA 92586(951) 679-1800(626) 796-7657 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Retina Institute Of California Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP (NPI 1659764736) is a healthcare organization registered as a specialist in Menifee, California and active in the NPI registry since March 2015. The organization lists Tom S. Chang, Founder, as its authorized official.

NPPES Registry Identity

NPI1659764736
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
Location Address29950 HAUN RD, SUITE 202Menifee, CA 92586-6526
Mailing Address100 E California BlvdPasadena, CA 91105-3205 · (626) 568-8838 · Fax (626) 574-7188
Phone(951) 679-1800
Fax(626) 796-7657
Organization SubpartNo
Authorized OfficialTom S. ChangFounder · (626) 568-8838
Enumeration DateMarch 12, 2015
✔ NPI 1659764736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A69909
Definition
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.
Also ListedOptometristTaxonomy 152W00000X · License A69909 (CA)
29950 HAUN RD, Menifee, CA 92586
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Other Identifiers 3

Medicare UPINBW463ACA
Other1760541569CA · Group Npi
Medicare UPINW20602CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN GHAZAL, D.D.S., INC
Dentist (General Practice)
29950 HAUN RD, STE 302
SUN CITY, CA 92586
Riverside County (951) 679-1667
DR. JAMES S WEE DDS
Dentist (General Practice)
29950 HAUN RD, STE. 302
SUN CITY, CA 92586
Riverside County (951) 679-1667
DR. ERIC MATTHEW FENNEMA O.D.
Optometrist
29950 HAUN RD, SUITE 206
SUN CITY, CA 92586
Riverside County (951) 679-0545
GHAZAL DENTAL CORPORATION
Dentist (General Practice)
29950 HAUN RD, 302
SUN CITY, CA 92586
Riverside County (951) 679-1667

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Institute Of California Medical Group's NPI number?

The NPI number for Retina Institute Of California Medical Group is 1659764736. It was assigned to this organization in the NPPES registry on March 12, 2015.

Where is Retina Institute Of California Medical Group located?

Retina Institute Of California Medical Group is located at 29950 Haun Rd Suite 202, Menifee, CA 92586. The listed phone number is (951) 679-1800.

What is Retina Institute Of California Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Retina Institute Of California Medical Group was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.