Provider Demographics
NPI:1316705445
Name:OPTIMAL HEALTHCARE CENTERS INC
Entity type:Organization
Organization Name:OPTIMAL HEALTHCARE CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOURLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLOS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:559-859-6755
Mailing Address - Street 1:1860 S CENTRAL ST STE B
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-4497
Mailing Address - Country:US
Mailing Address - Phone:559-859-6755
Mailing Address - Fax:
Practice Address - Street 1:1860 S CENTRAL ST STE B
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-4497
Practice Address - Country:US
Practice Address - Phone:559-390-0835
Practice Address - Fax:559-257-2382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty