Provider Demographics
NPI:1437658291
Name:OPTIMUM CARE
Entity Type:Organization
Organization Name:OPTIMUM CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OUDINOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-994-9181
Mailing Address - Street 1:17281 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-3215
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17281 MEADOWVIEW DR
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886-3215
Practice Address - Country:US
Practice Address - Phone:310-994-9181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARF-TBI, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-07
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550004584OtherCDPH CALIFORNIA DEPARTMENT OF PUBLIC HEALTH