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NPI Code Detail

MEDICARE: OPTIMAL HEALTH INSTITUTE

MEDICARE: OPTIMAL HEALTH INSTITUTE
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
1225100000XPhysical Therapist
2111N00000XChiropractorDC-27615CA

General Provider Information

NPI Number : 1366753766
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMAL HEALTH INSTITUTE
Provider Business Mailing Address
First Line : 18800 AMAR RD
Second Line : SUITE D-1
City : WALNUT
State : CA
Zip : 91789-4166
Country : US
Telephone Number : 626-965-9078
Fax Number : 626-965-9076
Provider Business Practice Location Address
First Line : 18800 AMAR RD
Second Line : SUITE D-1
City : WALNUT
State : CA
Zip : 91789-4166
Country : US
Telephone Number : 626-965-9078
Fax Number : 626-965-9076
Authorized Official
Title or Position : OWNER
Name : DR. HENRY KAN
Credential : DC, QME
Telephone Number : 626-965-9058
Provider Enumeration Date : 06/30/2010
Last Update Date : 07/20/2010

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Directions to “OPTIMAL HEALTH INSTITUTE ” Practice Location

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