# OPTIMAL ORTHOPEDIC MEDICAL GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1881874998
- **Authorized official:** JESSICA ROGER (OFFICE MANAGER)
- **Authorized official phone:** (714) 434-8663

## Contact information

- **Practice address:** 17400 IRVINE BLVD STE L, TUSTIN, CA 92780-3030
- **Practice address phone:** (714) 434-8663
- **Mailing address:** PO BOX 1309, NEWPORT BEACH, CA 92659-0109
- **Mailing address phone:** (714) 434-8663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G53516 | CA | Yes |

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 11/06/2007