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Organization
ORANGE PREVENTION AND TREATMENT INTEGRATED MEDICAL ASSISTANCE
Active
Organization
ORANGE PREVENTION AND TREATMENT INTEGRATED MEDICAL ASSISTANCE
Active
Other names
CalOptima
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PIJLOO LCSW (MSSP SITE DIRECTOR)
(714) 246-8500
Entity
Organization
Contact information
Practice address
505 CITY PKWY W, ORANGE, CA 92868-2924
(714) 246-8500
Mailing address
505 CITY PKWY W, ORANGE, CA 92868-2924
(714) 246-8500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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