Optimal Wellness Pharmacy

LBN: Optimal Healthcare Solutions
Optimal Wellness Pharmacy is an health care organization with primary practice located at 4200 Trabuco Rd Ste 190 , Irvine CA 92620-3659. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Optimal Healthcare Solutions can be contacted via phone (949) 861-3170, or through Diep-Kwei, Katheirne via phone (949) 861-3164.

Contact Information

Primary practice address
4200 Trabuco Rd Ste 190 Irvine CA 92620-3659
Fax: (949) 861-3179
Website:
Authorized official contact:
Name: Diep-Kwei, Katheirne

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51981 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1518374156
LBN Legal business name Optimal Healthcare Solutions
DBA Doing business as Optimal Wellness Pharmacy
Authorized official Diep-Kwei, Katheirne
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Jul 16th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518374156 NPPES
Other 2149234 PK
MEDICAID 1518374156 PK

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