Provider Demographics
NPI:1053741017
Name:OPTIMAL HEALTH CARE INC
Entity type:Organization
Organization Name:OPTIMAL HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NGOC
Authorized Official - Middle Name:
Authorized Official - Last Name:PHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-689-5049
Mailing Address - Street 1:5927 BALFOUR CT STE 205
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-7377
Mailing Address - Country:US
Mailing Address - Phone:800-689-5049
Mailing Address - Fax:800-689-5049
Practice Address - Street 1:5927 BALFOUR CT STE 205
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-7377
Practice Address - Country:US
Practice Address - Phone:800-689-5049
Practice Address - Fax:800-689-5049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health