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Organization
OPTUMCARE MANAGEMENT, LLC
Active
Organization
OPTUMCARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G. LIETHEN (SECRETARY)
(952) 205-6262
Entity
Organization
Contact information
Practice address
19191 S VERMONT AVE, SUITE 200, TORRANCE, CA 90502-1018
(310) 354-4221
Mailing address
P.O. BOX 6400, TORRANCE, CA 90504-6400
(310) 354-4221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
08/19/2019
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