Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Optimum Wellness and Longevity Inc

Organization Family Medicine Physician · NPI 1982983458

Optimum Wellness and Longevity Inc provides Family Medicine Physician services in Corona, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1315 Corona Pointe Ct Ste 101
Corona, CA 92879-1764 Not confirmed with CMS for 15 years — call before visiting
Phone: (951) 279-5300
Fax: (951) 279-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C52627 (CA)

Record details

NPI number1982983458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Rocco — Ceo · (951) 279-5300
NPI enumeratedAugust 15, 2011
Last updated in NPPESAugust 15, 2011
Mailing address1315 Corona Pointe Ct, Suite 101, Corona, CA 92879-1764

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