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OPTIMAL WELLNESS MEDICAL GROUP INC NPI 1306277967


NPI Information

NPI: 1306277967
Provider Name: OPTIMAL WELLNESS MEDICAL GROUP, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
670 MONTEREY PASS RD
SUITE 100
MONTEREY PARK, CA
ZIP 91754
Phone: (616) 551-5155
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OPTIMAL WELLNESS MEDICAL GROUP, INC is a general practice in Monterey Park, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee OPTIMAL WELLNESS MEDICAL GROUP, INC NPI is 1306277967. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

670 MONTEREY PASS RD
SUITE 100
MONTEREY PARK, CA
ZIP 91754-436
Phone: (616) 551-5155
Fax: (626) 551-5156

The provider's authorized official is Clement Lee .
The authorized official title is Owner and has the following contact phone number (626) 551-5155.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/15/2014.


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
1111N00000XChiropractorDC33051CALIFORNIANo
2171100000XAcupuncturistAC16000CALIFORNIANo
3175F00000XNaturopathND385CALIFORNIANo
4225100000XPhysical TherapistCALIFORNIANo
5208D00000XGeneral PracticeA40257CALIFORNIAYes

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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