Organization
OPTIMAL HEALTH MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY KAN DC (DIRECTOR)
(626) 965-9078
Entity
Organization
Contact information
Practice address
2095 S ATLANTIC BLVD FL 2, MONTEREY PARK, CA 91754-6303
(626) 965-9078
(626) 965-9076
Mailing address
2095 S. ATLANTIC BLVD., 2ND FLOOR, MONTEREY PARK, CA 91754
(626) 965-9078
(626) 965-9076
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC27615
CA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
C4858310
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A98528
CA
208VP0000X
Pain Medicine Physician
A69120
CA
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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