| Organization Name: | OPTIMUM HEALTH CARE CENTET |
| NPI Number: | 1356588925 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ASHLEY R DOBINS (CEO) |
| Mailing Address: | 4244 Mustic Way Mather |
| State: | CA US |
| Postal Code: | 956553032 |
| Phone Number: | 9165199462 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2009 |
| NPI Last Update Date: | 01/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP0905X |
| License Number: | 652506 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Public Health, State or Local |
| Taxonomy Definition: | |