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Organization
OPTIMAL WELLNESS CLINIC INC
Active
Organization
OPTIMAL WELLNESS CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMYAR FARHANGFAR MD (PRESIDENT)
(925) 787-0094
Entity
Organization
Contact information
Practice address
1234 GALSTON DR, FOLSOM, CA 95630-6137
(925) 787-0094
Mailing address
1015 RILEY ST UNIT 6241, FOLSOM, CA 95763-4101
(925) 787-0094
(916) 277-9034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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