# OPTUMCARE MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316966542
- **Authorized official:** JOHN G. LIETHEN (SECRETARY)
- **Authorized official phone:** (952) 205-6262

## Contact information

- **Practice address:** 11706 DARLINGTON AVE, APT 202, LOS ANGELES, CA 90049-5517
- **Practice address phone:** (310) 613-5566
- **Practice address fax:** (310) 442-6633
- **Mailing address:** P.O. BOX 6400, TORRANCE, CA 90504-6400
- **Mailing address phone:** (310) 613-5566
- **Mailing address fax:** (310) 442-6633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | A62946 | CA | Yes |

## Other

- **Enumeration date:** 07/19/2006
- **Last updated:** 08/19/2019
