# OPTUMCARE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDVANTX, INC.
- **Other names:** HealthCare Partners - Lakewood
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023339165
- **Legal business name:** MEDVANTX, INC.
- **Authorized official:** JOHN G. LIETHEN (SECRETARY)
- **Authorized official phone:** (952) 205-6262

## Contact information

- **Practice address:** 5001 LAKEWOOD BLVD, LAKEWOOD, CA 90712-2412
- **Practice address phone:** (562) 361-5650
- **Mailing address:** P.O. BOX 6400, TORRANCE, CA 90504-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | C38824 | CA | Yes |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 08/19/2019