Organization
OPTIMAL HEALTHCARE SOLUTIONS
Active
Organization
OPTIMAL HEALTHCARE SOLUTIONS
Active
Other names
Optimal Wellness Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KATHEIRNE DIEP-KWEI (PRESIDENT)
(949) 861-3164
Entity
Organization
Contact information
Practice address
4200 TRABUCO RD STE 190, IRVINE, CA 92620-3659
(949) 861-3170
(949) 861-3179
Mailing address
4200 TRABUCO RD, SUITE 190, IRVINE, CA 92620-3600
(949) 861-3170
(949) 861-3179
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51981
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518374156
—
CA
01
—
2149234
PK
—
Enumeration date
07/15/2014
Last updated
07/16/2020
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