NPI 1902127079

Optima Industrial Medical

Organisation Intermediate Emergency Medical Technician Carson, CA

Practice location

Address: 20401 South Avalon Blvd Suite C, Carson, CA 90746
Phone: (310) 632-5795
Fax: (310) 632-5842

Authorised official

Name: Brian Kent Low
Title: Medical Director
Phone: (310) 632-5795

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence G57531 (CA)

Other Emergency Medical Technician, Intermediate providers in California →

Registry record

NPI: 1902127079
Entity type: Organization
NPI issued: 11 Jun 2010
Record last updated: 14 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.