Organization
OPTIMUM PODIATRY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MATTHEW MOSS DPM (OWNER)
(714) 404-5641
Entity
Organization
Contact information
Practice address
16815 VON KARMAN AVE STE 160, IRVINE, CA 92606-2420
(714) 404-5641
Mailing address
909 TOLLIS PKWY, BROADVIEW HEIGHTS, OH 44147-1818
(714) 404-5641
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
CA
Other
Enumeration date
08/16/2018
Last updated
04/30/2024
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