# OPTUMCARE MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1558453704
- **Authorized official:** JOHN G. LIETHEN (SECRETARY)
- **Authorized official phone:** (952) 205-6262

## Contact information

- **Practice address:** 2600 REDONDO AVE, LONG BEACH, CA 90806-2325
- **Practice address phone:** (562) 988-7221
- **Mailing address:** 600 W 9TH ST, SUITE 1409, LOS ANGELES, CA 90015-4301
- **Mailing address phone:** (213) 623-7609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | PSY 21006 | CA | Yes |
| 305R00000X | Preferred Provider Organization | PSY 21006 | CA | — |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 09/16/2019