# OPTIMAL HEALTH MEDICAL CENTER INC

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

## Provider details

- **NPI number:** 1760921563
- **Authorized official:** DR. HENRY KAN DC (DIRECTOR)
- **Authorized official phone:** (626) 965-9078

## Contact information

- **Practice address:** 2095 S ATLANTIC BLVD FL 2, MONTEREY PARK, CA 91754-6303
- **Practice address phone:** (626) 965-9078
- **Practice address fax:** (626) 965-9076
- **Mailing address:** 2095 S. ATLANTIC BLVD., 2ND FLOOR, MONTEREY PARK, CA 91754
- **Mailing address phone:** (626) 965-9078
- **Mailing address fax:** (626) 965-9076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC27615 | CA | — |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | C4858310 | CA | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | A98528 | CA | — |
| 208VP0000X | Pain Medicine Physician | A69120 | CA | — |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 02/14/2017