Provider Demographics
NPI:1447902812
Name:OPTIMAL CARE SERVICE
Entity type:Organization
Organization Name:OPTIMAL CARE SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASOURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-640-0044
Mailing Address - Street 1:10714 1/2 RIVERSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602-1000
Mailing Address - Country:US
Mailing Address - Phone:747-224-2488
Mailing Address - Fax:
Practice Address - Street 1:10714 1/2 RIVERSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602-1000
Practice Address - Country:US
Practice Address - Phone:747-224-2488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No251E00000XAgenciesHome Health
No341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport