Organization
OPT HEALTH CA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR GHIA (GENERAL COUNSEL)
(610) 730-6229
Entity
Organization
Contact information
Practice address
595 PACIFIC AVE FL 4, SAN FRANCISCO, CA 94133-4685
(610) 730-6229
Mailing address
595 PACIFIC AVE FL 4, SAN FRANCISCO, CA 94133-4685
(610) 730-6229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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