# OPTIMAL WELLNESS MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1306277967
- **Authorized official:** DR. CLEMENT LEE ND (OWNER)
- **Authorized official phone:** (626) 551-5155

## Contact information

- **Practice address:** 670 MONTEREY PASS RD, SUITE 100, MONTEREY PARK, CA 91754-2436
- **Practice address phone:** (616) 551-5155
- **Practice address fax:** (626) 551-5156
- **Mailing address:** 670 MONTEREY PASS RD, SUITE 100, MONTEREY PARK, CA 91754-2436
- **Mailing address phone:** (616) 551-5155
- **Mailing address fax:** (626) 551-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC33051 | CA | — |
| 171100000X | Acupuncturist | AC16000 | CA | — |
| 175F00000X | Naturopath | ND385 | CA | — |
| 208D00000X | General Practice Physician | A40257 | CA | Yes |
| 225100000X | Physical Therapist | — | CA | — |

## Other

- **Enumeration date:** 12/09/2013
- **Last updated:** 12/15/2014