Provider Demographics
NPI:1700508538
Name:OPTIMUS WEST LLC
Entity type:Organization
Organization Name:OPTIMUS WEST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HABIB
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-324-3315
Mailing Address - Street 1:7545 IRVINE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:951-602-8886
Practice Address - Street 1:7545 IRVINE CENTER DR SUITE 200
Practice Address - Street 2:OFFICE NUMBER 12
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2933
Practice Address - Country:US
Practice Address - Phone:951-324-3315
Practice Address - Fax:951-602-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)