NPI | 1194877654 |
---|---|
Doing Business As | OPTIMAL WELLNESS HEALTH SYSTEMS |
Entity Type | Organization |
Authorized Contact | ANDRIENNE A GRANT Medical Director 562-597-6020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A7285) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: CA 20A7285) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2023-03-07 |