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General NPI Number Information
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NPI Number | 1063944627
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Entity Type | Organization
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Legal Business Name | OPTIMUM CARE NETWORK INC.
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Dates
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Enumeration Date | 03/31/2017
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 16027 BROOKHURST STREET STE. I-750
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708
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Country | US
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Telephone | 714-916-0952
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Fax | 714-594-3286
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Provider Business Mailing Address
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Address Line | 16027 BROOKHURST ST STE I-750
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-1551
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Country | US
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Telephone | 714-916-0952
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Fax | 714-594-3286
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEERA SOHAIL
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Credential | M.D
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Telephone | 718-840-9357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 129795
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 129795
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 129795
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 129795
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License Number State | CA
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