Provider Demographics
NPI:1073829107
Name:OPTIMA FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:OPTIMA FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OSCAR
Authorized Official - Middle Name:ALONSO
Authorized Official - Last Name:CARVAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-844-3376
Mailing Address - Street 1:1288 N VERDUGO RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-1546
Mailing Address - Country:US
Mailing Address - Phone:818-844-3376
Mailing Address - Fax:818-844-0888
Practice Address - Street 1:1288 N VERDUGO RD
Practice Address - Street 2:SUITE A
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-1546
Practice Address - Country:US
Practice Address - Phone:818-844-3376
Practice Address - Fax:818-844-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency