Organization
OPTIMAL WELLNESS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT LEE ND (OWNER)
(626) 551-5155
Entity
Organization
Contact information
Practice address
670 MONTEREY PASS RD, SUITE 100, MONTEREY PARK, CA 91754-2436
(616) 551-5155
(626) 551-5156
Mailing address
670 MONTEREY PASS RD, SUITE 100, MONTEREY PARK, CA 91754-2436
(616) 551-5155
(626) 551-5156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC33051
CA
171100000X
Acupuncturist
AC16000
CA
175F00000X
Naturopath
ND385
CA
208D00000X
General Practice Physician
Primary
A40257
CA
225100000X
Physical Therapist
—
CA
Other
Enumeration date
12/09/2013
Last updated
12/15/2014
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