OPTIMUM WELLNESS AND WEIGHT LOSS (NPI# 1225636855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225636855 |
| Entity Type | Organization |
| Organization Name | OPTIMUM WELLNESS AND WEIGHT LOSS |
| Practice Address |
910 S El Camino Real Ste 100 San Clemente CA 92672-4279 |
| Mailing Address |
638 Camino De Los Mares # H130-103 San Clemente CA 92673-2848 |
| Practice Telephone | 9493633162 |
| Practice Fax Number | 8884088262 |
| Mailing Telephone | 3105950679 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DR. SUNAO GILBERT (OWNER) |
| Authorized Official Telephone | 9493633162 |
| Authorized Official Credential | MD, FAARFM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Optimum Rejuvenation | Doing Business As Name - Organization |
| Street Address |
910 S EL CAMINO REAL STE 100 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92672-4279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355234 | Julie Case | Massage Therapist | 205 Via Presa, I Do Not Work From Home- I Am A Contractor, San Clemente, CA 92672 | 2020-10-30 |
| 1396213971 | Kirtney So Lim | Military Health Care Provider | 62 Area San Mateo Naval Clinic, Camp Pendleton, CA 92672 | 2018-11-13 |
| 1407322258 | Lodie Ikeda | Non-emergency Medical Transport (VAN) | 119 Avenida Dolores B, San Clemente, CA 92672 | 2018-10-19 |
| 1629566245 | I-ting Wang | Counselor | 3551 Camino Mira Costa San Clemente, Suite T, San Clemente, CA 92672 | 2018-04-30 |
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1518320415 | Addiction Health Alliance LLC | Clinical Medical Laboratory | 605 Avenida Las Flores, San Clemente, CA 92672 | 2016-03-30 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1194043596 | Sima Moayed | Pharmacist | 801 N. Elcamino Real, San Clemente, CA 92672 | 2010-05-10 |
| 1942539432 | Martha Elena Hall | Acupuncturist | 131 W. El Portal, San Clemente, CA 92672 | 2009-12-14 |
| 1922334515 | Katie B Mann | Social Worker | 1401 N. El Camino Real, #100, San Clemente, CA 92672 | 2009-11-02 |
| Find all providers in zip 92672 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174046874 | Russell Thompson Chiropractic Inc | Clinic/Center | 629 Camino De Los Mares, Ste. 104, San Clemente, CA 92672 | 2017-07-25 |
| 1588083489 | R Tyler Johnson Chiropractic Professional Inc | Clinic/Center | 1502 N El Camino Real, Ste A, San Clemente, CA 92672-5906 | 2014-04-08 |
| 1922302314 | Premier Health Care Chiropractic & Wellness | Clinic/Center | 1238 Puerta Del Sol Ste 1a, 1a, San Clemente, CA 92673-6310 | 2010-12-29 |
| 1124354592 | Tim Roham D.o. Inc | Clinic/Center | 629 Camino De Los Mares, Suite 103, San Clemente, CA 92673-2834 | 2009-10-20 |
| 1023254653 | Coppola Chiropractic Inc. | Clinic/Center | 380 Camino De Estrella, San Clemente, CA 92672-4859 | 2009-01-03 |
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| 1730799115 | Mark Mashike Chiropractic | Clinic/Center | 12750 Carmel Country Rd Ste A111, San Diego, CA 92130-2159 | 2020-07-31 |
| Find all providers with the same taxonomy | ||||
| City | SAN CLEMENTE |
| Zip Code | 92672 |
Please comment or provide details below to improve the information on OPTIMUM WELLNESS AND WEIGHT LOSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.