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Organization
OPTILIFE, INC.
Active
Organization
OPTILIFE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY A.W. DIBELLA M.D. (OWNER)
(714) 520-9759
Entity
Organization
Contact information
Practice address
1400 QUAIL ST, SUITE 150, NEWPORT BEACH, CA 92660-2730
(714) 520-9759
(949) 442-1664
Mailing address
1400 QUAIL ST, SUITE 150, NEWPORT BEACH, CA 92660-2730
(714) 520-9759
(949) 442-1664
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G21681
CA
Other
Enumeration date
02/23/2007
Last updated
01/13/2009
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