OPTIMAL SPINE & HEALTH MEDICAL CENTER INC. NPI 1073749495

NPI Information

NPI: 1073749495
Provider Name: OPTIMAL SPINE & HEALTH MEDICAL CENTER, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2361 S AZUSA AVE
WEST COVINA, CA
ZIP 91792
Phone: (626) 965-2334
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OPTIMAL SPINE & HEALTH MEDICAL CENTER, INC. is a general practice in West Covina, CA. OPTIMAL SPINE & HEALTH MEDICAL CENTER, INC. NPI is 1073749495. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2361 S AZUSA AVE
WEST COVINA, CA
ZIP 91792-537
Phone: (626) 965-2334
Fax: (626) 964-6504

The provider's authorized official is Andrew Joseph Keith .
The authorized official title is President and has the following contact phone number (626) 965-2334.

The enumeration date for this NPI number is 6/1/2009 and was last updated on 1/9/2012.

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
1	111N00000X	Chiropractor		DC15972	CALIFORNIA	No
2	208D00000X	General Practice		C51512	CALIFORNIA	Yes

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
1	6348040001	MEDICARE NSC	CALIFORNIA
2	CD916A	MEDICARE PIN	CALIFORNIA
3	T18200	MEDICARE UPIN	CALIFORNIA

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

NPI Synchronization or Removal

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