MEDICARE: OPTIMAL HEALTH & WELLNESS CORP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	171100000X	Acupuncturist
3	175F00000X	Naturopath

General Provider Information

NPI Number	:	1972972859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL HEALTH & WELLNESS CORP

Provider Business Mailing Address
First Line	:	670 MONTEREY PASS RD
Second Line	:	SUITE 100
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-2436
Country	:	US
Telephone Number	:	626-551-5155
Fax Number	:	626-551-5156

Provider Business Practice Location Address
First Line	:	670 MONTEREY PASS RD
Second Line	:	SUITE 100
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-2436
Country	:	US
Telephone Number	:	626-551-5155
Fax Number	:	626-551-5156

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	CLEMENT LEE
Credential	:	N. D.
Telephone Number	:	626-551-5155

Provider Enumeration Date	:	09/21/2015
Last Update Date	:	09/21/2015

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Directions to “OPTIMAL HEALTH & WELLNESS CORP ” Practice Location

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