Active NPI
Optimal Care Medical Group
- Internal Medicine Physician
- Huntington Park, CA
National Provider Identifier
1003461096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OPTIMAL CARE MEDICAL GROUP
- Practice address
- 2675 E Slauson Ave
Huntington Park, CA 90255-2926 - Phone
- (323) 749-6777
- Fax
- (323) 835-6035
- NPI assigned
- Aug 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pierre Aubert Espenan, MD
- Title
- Ceo
- Phone
- (323) 749-6777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2675 E Slauson Ave
Huntington Park, CA 90255-2926
Mailing address
2675 E Slauson Ave
Huntington Park, CA 90255-2926
Phone (323) 749-6777
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1003461096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2675 E SLAUSON AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552926",
"telephone_number": "323-749-6777",
"fax_number": "323-835-6035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2675 E SLAUSON AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902552926",
"telephone_number": "323-749-6777",
"fax_number": "323-835-6035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL CARE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "ESPENAN",
"authorized_official_first_name": "PIERRE",
"authorized_official_middle_name": "AUBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-749-6777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.