TRILOGY EYE MEDICAL GROUP, INC (NPI# 1588099097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588099097 |
| Entity Type | Organization |
| Organization Name | TRILOGY EYE MEDICAL GROUP, INC |
| Other Organization Name | CALIFORNIA EYE AND EAR SPECIALISTS |
| Practice Address |
2400 N Broadway Los Angeles CA 90031-2219 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 3232218000 |
| Practice Fax Number | 3232210738 |
| Mailing Telephone | (626) 574-0020 |
| Mailing Fax Number | 6265747188 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2017-09-15 |
| Authorized Official Name | DR. TOM S CHANG (FOUNDER/OWNER) |
| Authorized Official Telephone | 8008982020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 174400000X | Specialist | CA | Other Service Providers | |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MCR(N) | FQ161B | 01 |
| CA | 1114205432 | 05 | |
| CA | MCR(S) | FQ161A | 01 |
| Other Name | Type Code |
|---|---|
| ACUITY EYE SPECIALISTS | Doing Business As Name - Organization |
| CALIFORNIA EYE AND EAR SPECIALISTS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225560725 | Trilogy Eye Medical Group, Inc | Ophthalmology | 435 Arden Ave, 430, Glendale, CA 91203-1130 | 2017-04-03 |
| 1982045449 | Trilogy Eye Medical Group, Inc | Optometrist | 17833 Colima Rd, City of Industry, CA 91748-1729 | 2013-07-12 |
| 1053584474 | Trilogy Eye Medical Group, Inc | Optometrist | 5565 Grossmont Center Dr Ste 551, La Mesa, CA 91942-3078 | 2008-04-07 |
| 1447214390 | Trilogy Eye Medical Group, Inc | Ophthalmology | 44241 15th St W, Suite 201, Lancaster, CA 93534-5501 | 2006-04-15 |
| Street Address |
2400 N BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90031-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720189061 | Rose Medical Group | Technician/Technologist | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
| 1861593006 | Michael R Rose | Ophthalmology | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194247031 | James Han | Counselor | 2010 Lincoln Park Ave., Los Angeles, CA 90031 | 2017-07-12 |
| 1457712200 | Arturo Ibarra D.d.s. Inc | Dentist | 2407 North Broadway, Los Angeles, CA 90031 | 2016-03-08 |
| 1083081780 | Blair Evans James | Social Worker | 434 E Avenue 28 Ste 106, Los Angeles, CA 90031 | 2015-08-28 |
| 1538578133 | Si Xu | Acupuncturist | 2415 Pasadena Ave, Los Angeles, CA 90031 | 2014-08-07 |
| 1346583309 | Arlene Mary Juarez | Counselor | 2309 Daly Street, Masa Youth Center, Los Angeles, CA 90031 | 2013-03-28 |
| 1770858250 | Rama Paliwal | Pediatrics | 1025 Daly St, Jchs, Los Angeles, CA 90031 | 2012-03-15 |
| 1033482476 | Eloisa Padilla | Social Worker | 2309 Daly St ., Los Angeles, CA 90031 | 2012-02-15 |
| 1851601975 | Edmond Hwan Kim | Acupuncturist | 330 W. Avenue 26, #328, Los Angeles, CA 90031 | 2010-10-08 |
| 1629209382 | Dante Almendral Md, A Medical Corporation | Ophthalmology | 2425 North Broadway St., Los Angeles, CA 90031 | 2009-07-29 |
| 1003044090 | Sindy K. Ramos | Counselor | 1721 Griffin Ave., Los Angeles, CA 90031 | 2009-06-29 |
| Find all providers in zip 90031 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1598238784 | Stanley S Kim Md, Inc | Ophthalmology | 3663 W 6th St Ste 200, Los Angeles, CA 90020-3048 | 2019-01-10 |
| 1811462542 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 5120 W Goldleaf Cir Ste 20, Los Angeles, CA 90056-1292 | 2018-10-09 |
| 1386132744 | Masket Foundation Clinic for Eye Care | Ophthalmology | 2080 Century Park E Ste 911, Los Angeles, CA 90067-2012 | 2018-05-01 |
| 1922501154 | Maloney-shamie Vision Institute | Ophthalmology | 10921 Wilshire Blvd Ste 900, Los Angeles, CA 90024-4003 | 2018-03-14 |
| 1417484213 | Julie You Kwon Md Inc | Ophthalmology | 932 S Cloverdale Ave, Los Angeles, CA 90036-4817 | 2017-05-11 |
| 1932581642 | Eric Shieh | Ophthalmology | 100 Stein Plz Rm 2-132, Los Angeles, CA 90095-7065 | 2015-06-18 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1659705705 | Martin James Brickman | Ophthalmology | 2531 Mount Beacon Ter, Los Angeles, CA 90068-2444 | 2013-08-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90031 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.