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Organization
OPTIMUM HEALTH ASSOCIATES, INV.
Active
Organization
OPTIMUM HEALTH ASSOCIATES, INV.
Active
Other names
Optimum Wellness Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRAYCE MEGAN SHIELDS M.D. (PRESIDENT)
(818) 547-5400
Entity
Organization
Contact information
Practice address
1030 S GLENDALE AVE, SUITE 503, GLENDALE, CA 91205-5612
(818) 547-5400
(818) 547-3380
Mailing address
1030 S GLENDALE AVE, SUITE 503, GLENDALE, CA 91205-5612
(818) 547-5400
(818) 547-3380
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G35611
CA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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