Optimal Wellness Medical Group, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A40257 Issued in CA

Legal business name

OPTIMAL WELLNESS MEDICAL GROUP, INC

Practice address

670 Monterey Pass Rd
Suite 100
Monterey Park, CA 91754-2436

Phone

(616) 551-5155

Fax

(626) 551-5156

NPI assigned

Dec 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clement Lee, ND

Title

Owner

Phone

(626) 551-5155

Specialties & licenses 5

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1306277967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MONTEREY PASS RD",
            "address_2": "SUITE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542436",
            "telephone_number": "616-551-5155",
            "fax_number": "626-551-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MONTEREY PASS RD",
            "address_2": "SUITE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542436",
            "telephone_number": "616-551-5155",
            "fax_number": "626-551-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-551-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC33051",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC16000",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND385",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40257",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ong, PHARMD
• Kyaw Lwin Oo
• Soe Lwin Oo
• Optimal Health & Wellness Corp
• Optimal Health Medical Center Inc
• Veronica Ruby Orellana, M.A., MFT INTERN
• Dana Victoria Pornel Orena
• Cynthia Ornelas
• Corina Orozco
• Jacquelyn Ortiz Ramirez, ASW

• General Practice Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.