Optimal Health Medical Center Inc

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

C4858310 Issued in CA

Legal business name

OPTIMAL HEALTH MEDICAL CENTER INC

Practice address

2095 S Atlantic Blvd FL 2
Monterey Park, CA 91754-6303

Phone

(626) 965-9078

Fax

(626) 965-9076

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Henry Kan, DC

Title

Director

Phone

(626) 965-9078

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Yd Lin

  • Orthopaedic Surgery of the Spine Physician
  • Fountain Valley, CA
  • NPI 1205085610
  NPD

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1760921563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 S. ATLANTIC BLVD., 2ND FLOOR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-965-9078",
            "fax_number": "626-965-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 S ATLANTIC BLVD FL 2",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917546303",
            "telephone_number": "626-965-9078",
            "fax_number": "626-965-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KAN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-965-9078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27615",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CA",
            "license": "C4858310",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A98528",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A69120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laylim Ong, OTR/L
• Lisa Ong, PHARMD
• Kyaw Lwin Oo
• Soe Lwin Oo
• Optimal Health & Wellness Corp
• Optimal Wellness Medical Group, Inc
• Veronica Ruby Orellana, M.A., MFT INTERN
• Dana Victoria Pornel Orena
• Cynthia Ornelas
• Corina Orozco

• Sports Medicine (Emergency Medicine) Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Sports Medicine (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.