OPTIMUM HEALTH ASSOCIATES INV. NPI 1053593731

NPI Information

  • NPI: 1053593731
  • Provider Name: OPTIMUM HEALTH ASSOCIATES, INV.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: OPTIMUM WELLNESS MEDICAL GROUP
  • Address: 1030 S GLENDALE AVE
    SUITE 503
    GLENDALE, CA
    ZIP 91205
  • Phone: (818) 547-5400

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NPI Details

OPTIMUM HEALTH ASSOCIATES, INV. is a family medicine in Glendale, 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 HEALTH ASSOCIATES, INV. NPI is 1053593731. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Optimum Wellness Medical Group.

The provider's business location address is:

1030 S GLENDALE AVE
SUITE 503
GLENDALE, CA
ZIP 91205-612
Phone: (818) 547-5400
Fax: (818) 547-3380

The provider's authorized official is Grayce Megan Shields .
The authorized official title is President and has the following contact phone number (818) 547-5400.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 12/4/2007.

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
1207Q00000XFamily MedicineG35611CALIFORNIAYes

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: 11/21/2025

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