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OPTIMUM WELLNESS AND LONGEVITY INC NPI 1982983458


NPI Information

NPI: 1982983458
Provider Name: OPTIMUM WELLNESS AND LONGEVITY INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1315 CORONA POINTE CT
SUITE 101
CORONA, CA
ZIP 92879
Phone: (951) 279-5300
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OPTIMUM WELLNESS AND LONGEVITY INC is a family medicine in Corona, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OPTIMUM WELLNESS AND LONGEVITY INC NPI is 1982983458. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1315 CORONA POINTE CT
SUITE 101
CORONA, CA
ZIP 92879-764
Phone: (951) 279-5300
Fax: (951) 279-4300

The provider's authorized official is Robert T Rocco .
The authorized official title is Ceo and has the following contact phone number (951) 279-5300.

The enumeration date for this NPI number is 8/15/2011 and was last updated on 8/15/2011.


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
1207Q00000XFamily MedicineC52627CALIFORNIAYes

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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