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Organization
OPTUMCARE MANAGEMENT, LLC
Active
Organization
OPTUMCARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G. LIETHEN (SECRETARY)
(952) 205-6262
Entity
Organization
Contact information
Practice address
1025 W OLYMPIC BLVD, LOS ANGELES, CA 90015-1329
(213) 861-5950
Mailing address
P.O. BOX 6400, TORRANCE, CA 90504-6400
(818) 636-2200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
55779
CA
Other
Enumeration date
03/01/2013
Last updated
08/19/2019
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