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Organization
HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Active
Organization
HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP
Active
Other names
Optum
Organization subpart
No
Provider details
NPI number
Authorized official
A FAVORS (MANAGER)
(623) 341-3964
Entity
Organization
Contact information
Practice address
1120 W WASHINGTON BLVD, LOS ANGELES, CA 90015-3316
(213) 623-2225
Mailing address
19191 S VERMONT AVE FL 7, TORRANCE, CA 90502-1018
(623) 341-3964
(310) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207K00000X
Allergy & Immunology Physician
—
—
207L00000X
Anesthesiology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
BU20504720
CA
Other
Enumeration date
06/10/2006
Last updated
12/19/2025
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