Optimum Medical Clinics Inc

LBN: Optimum Medical Clinics Inc
Optimum Medical Clinics Inc is an health care organization with primary practice located at 20072 Sw Birch St Ste 100, Newport Beach CA 92660-0794. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Optimum Medical Clinics Inc can be contacted via phone (949) 757-1150, or through Park, Samuel Kyung-Uk via phone (949) 757-1150.

Contact Information

Primary practice address
20072 Sw Birch St Ste 100 Newport Beach CA 92660-0794
Fax: (949) 757-1170
Website:
Authorized official contact:
Name: Park, Samuel Kyung-Uk Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A050474 California

Profile Details

NPI number 1649354366
LBN Legal business name Optimum Medical Clinics Inc
DBA Doing business as
Authorized official Park, Samuel Kyung-Uk Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1649354366 NPPES
California MEDICAID GR0088240

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