# OPTUMCARE COLORADO MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DaVita Medical Group Colorado Springs LLC, OptumCare Colorado Springs LLC, Optum Colorado Springs 1625 Medical Center Point, Colorado Springs Health Partners LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770714339
- **Authorized official:** EMILY CASTILLO (ASSOCIATE DIRECTOR CREDENTIALING)
- **Authorized official phone:** (702) 579-3253

## Contact information

- **Practice address:** 1625 MEDICAL CENTER PT STE 210, COLORADO SPRINGS, CO 80907-5798
- **Practice address phone:** (719) 635-5803
- **Practice address fax:** (719) 448-0164
- **Mailing address:** PO BOX 35380, LAS VEGAS, NV 89133-5380
- **Mailing address phone:** (702) 579-3203
- **Mailing address fax:** (719) 538-2990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | CO | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2009
- **Last updated:** 08/20/2024