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NPI Code Detail

MEDICARE: OPTIMEX HUMAN SERVICES INC

MEDICARE: OPTIMEX HUMAN SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1326862186
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMEX HUMAN SERVICES INC
Provider Business Mailing Address
First Line : 5300 CALIFORNIA AVE STE 200
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-1642
Country : US
Telephone Number : 661-376-0555
Fax Number :
Provider Business Practice Location Address
First Line : 5300 CALIFORNIA AVE STE 200
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-1642
Country : US
Telephone Number : 661-376-0555
Fax Number :
Authorized Official
Title or Position : CEO
Name : JOEVENEY MACABEO
Credential :
Telephone Number : 661-376-0555
Provider Enumeration Date : 11/08/2024
Last Update Date : 11/08/2024

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Directions to “OPTIMEX HUMAN SERVICES INC ” Practice Location

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