Optimum Care Provider, Inc.
LBN: Optimum Care Provider, Inc.
Optimum Care Provider, Inc. is an health care organization with primary practice located at 12381 Bali St , Victorville CA 92392-6825. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Optimum Care Provider, Inc. can be contacted via phone (909) 509-6064, or through Tayag, Eleazar Somintac via phone (909) 509-6064.
Contact Information
Primary practice address
12381 Bali St
Victorville CA 92392-6825
Phone: (909) 509-6064
Fax:
Website:
Authorized official contact:
Name: Tayag, Eleazar Somintac Physical Therapist (PT)
Phone: (909) 509-6064
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 33402 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1114211885 |
|---|---|
| LBN Legal business name | Optimum Care Provider, Inc. |
| DBA Doing business as | |
| Authorized official | Tayag, Eleazar Somintac Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2011 |
| Last updated | Oct 15th, 2023 - about last year |
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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