| Optimal Health Medical Clinic Inc | |
|
7050 Dublin Blvd Dublin CA 94568-3017 | |
| (925) 999-8806 | |
| Not Available |
| Full Name | Optimal Health Medical Clinic Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7050 Dublin Blvd, Dublin, California |
| Authorized Official Name and Position | John Duong (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9259998806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Health Medical Clinic Inc 7050 Dublin Blvd Dublin CA 94568-3017 Ph: (925) 999-8806 | Optimal Health Medical Clinic Inc 7050 Dublin Blvd Dublin CA 94568-3017 Ph: (925) 999-8806 |
| NPI Number | 1780218479 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 03/03/2020 |
| Medicare PECOS PAC ID | 5496185134 |
|---|---|
| Medicare Enrollment ID | O20200421002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780218479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Irene S Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366516205 PECOS PAC ID: 2466441167 Enrollment ID: I20040507001346 |
| Provider Name | Divina Masaquel-santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437595493 PECOS PAC ID: 4688997182 Enrollment ID: I20150107001849 |
| Provider Name | Jovie De Leon-luck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992119960 PECOS PAC ID: 1850603390 Enrollment ID: I20150711000199 |
| Provider Name | Oloruntobi Agbelusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487888368 PECOS PAC ID: 5395162903 Enrollment ID: I20200827002404 |
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