# CENTER FOR WELLNESS

> 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
- **Other names:** Optimal Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912278664
- **Authorized official:** MR. JORGE L MORENO D.O. (PRACTITIONER / PHYSICIAN)
- **Authorized official phone:** (323) 726-6289

## Contact information

- **Practice address:** 420 N MONTEBELLO BLVD, 300, MONTEBELLO, CA 90640-4268
- **Practice address phone:** (323) 726-6289
- **Practice address fax:** (323) 726-6767
- **Mailing address:** 420 N MONTEBELLO BLVD, 300, MONTEBELLO, CA 90640-4268
- **Mailing address phone:** (323) 726-6289
- **Mailing address fax:** (323) 726-6767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 175L00000X | Homeopath | — | NULL | — |
| 175L00000X | Homeopath | — | — | — |
| 204R00000X | Electrodiagnostic Medicine Physician | — | NULL | — |
| 204R00000X | Electrodiagnostic Medicine Physician | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | NULL | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | 20A6911 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2012
- **Last updated:** 06/28/2021