# OPTIMUM PODIATRY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164902565
- **Authorized official:** JONATHAN MATTHEW MOSS DPM (OWNER)
- **Authorized official phone:** (714) 404-5641

## Contact information

- **Practice address:** 16815 VON KARMAN AVE STE 160, IRVINE, CA 92606-2420
- **Practice address phone:** (714) 404-5641
- **Mailing address:** 909 TOLLIS PKWY, BROADVIEW HEIGHTS, OH 44147-1818
- **Mailing address phone:** (714) 404-5641

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 261QP1100X | Podiatric Clinic/Center | — | CA | — |

## Other

- **Enumeration date:** 08/16/2018
- **Last updated:** 04/30/2024