Organization
OPTIMA INDUSTRIAL MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KENT LOW M.D. (MEDICAL DIRECTOR)
(310) 632-5795
Entity
Organization
Contact information
Practice address
20401 SOUTH AVALON BLVD, SUITE C, CARSON, CA 90746
(310) 632-5795
(310) 632-5842
Mailing address
20401 SOUTH AVALON BLVD, SUITE C, CARSON, CA 90746
(310) 632-5795
(310) 632-5842
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
G57531
CA
Other
Enumeration date
06/11/2010
Last updated
09/14/2011
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