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Organization
OPTIMUM MEDICAL CLINICS, INC
Active
Organization
OPTIMUM MEDICAL CLINICS, INC
Active
Parent organization
OPTIMUM MEDICAL CLINICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIMUM MEDICAL CLINICS, INC
Authorized official
SAMUEL K. PARK M.D. (MEDICAL DIRECTOR)
(949) 757-1150
Entity
Organization
Contact information
Practice address
20072 SW BIRCH ST, SUITE 100, NEWPORT BEACH, CA 92660-0794
(949) 757-1150
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
10/14/2010
Last updated
03/01/2011
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