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General NPI Number Information
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NPI Number | 1700215316
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Entity Type | Organization
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Legal Business Name | OPTIMUM CARE PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 17906 PIONEER BLVD SUITE 101 - 102
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City | ARTESIA
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State | CA
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Zip | 90701-9070
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Country | US
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Telephone | 562-865-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 17906 PIONEER BLVD SUITE 101 - 102
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City | ARTESIA
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State | CA
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Zip | 90701-2633
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Country | US
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Telephone | 562-865-2222
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Fax | 888-423-0080
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | SHERRY B SIMSUANGCO
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Credential | PT, DPT
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Telephone | 562-865-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT28304
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License Number State | CA
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