Provider Demographics
NPI:1295616068
Name:OPTIMAPATH INC
Entity type:Organization
Organization Name:OPTIMAPATH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN-ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-981-3384
Mailing Address - Street 1:12340 SEAL BEACH BLVD # B648
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-2792
Mailing Address - Country:US
Mailing Address - Phone:714-981-3384
Mailing Address - Fax:
Practice Address - Street 1:1000 QUAIL ST STE 260
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2784
Practice Address - Country:US
Practice Address - Phone:714-981-3384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251K00000XAgenciesPublic Health or Welfare
No251V00000XAgenciesVoluntary or Charitable
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch