# OPTUMCARE MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1699085340
- **Legal business name:** MEDVANTX, INC.
- **Authorized official:** JOHN G. LEITHEN (SECRETARY)
- **Authorized official phone:** (952) 205-6262

## Contact information

- **Practice address:** 18433 ROSCOE BLVD, 206, NORTHRIDGE, CA 91325-4108
- **Practice address phone:** (818) 341-1540
- **Mailing address:** P.O. BOX 6400, TORRANCE, CA 90504-6400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | G41579 | CA | Yes |

## Other

- **Enumeration date:** 10/15/2010
- **Last updated:** 08/19/2019