| Optimum Wellness And Longevity Inc | |
|
1315 Corona Pointe Ct Suite 101 Corona CA 92879-1764 | |
| (951) 279-5300 | |
| (951) 279-4300 |
| Full Name | Optimum Wellness And Longevity Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 Corona Pointe Ct, Corona, California |
| Authorized Official Name and Position | Robert T Rocco (CEO) |
| Authorized Official Contact | 9512795300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimum Wellness And Longevity Inc 1315 Corona Pointe Ct Suite 101 Corona CA 92879-1764 Ph: (951) 279-5300 | Optimum Wellness And Longevity Inc 1315 Corona Pointe Ct Suite 101 Corona CA 92879-1764 Ph: (951) 279-5300 |
| NPI Number | 1982983458 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982983458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C52627 (California) | Primary |
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