Provider Demographics
NPI:1376603928
Name:OCEANPOINTE, INC.
Entity Type:Organization
Organization Name:OCEANPOINTE, INC.
Other - Org Name:OPTIMAL WELLNESS HEALTH SYSTEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GRANT-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:562-597-6020
Mailing Address - Street 1:1777 N BELLFLOWER BLVD
Mailing Address - Street 2:107
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815-4013
Mailing Address - Country:US
Mailing Address - Phone:562-597-6020
Mailing Address - Fax:562-597-6024
Practice Address - Street 1:1777 N BELLFLOWER BLVD
Practice Address - Street 2:107
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4013
Practice Address - Country:US
Practice Address - Phone:562-597-6020
Practice Address - Fax:562-597-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7285208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty