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Organization

HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP

Active
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Organization

HEALTHCARE PARTNERS AFFILIATES MEDICAL GROUP

Active
Other names
Optum
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REBECCA D. SCHAUMBURG (ADMINISTRATIVE ASSISTANT)
(310) 525-3869
Entity
Organization

Contact information

Practice address
14591 NEWPORT AVE, TUSTIN, CA 92780-6001
(714) 442-4864
Mailing address
PO BOX 6400, TORRANCE, CA 90504-0400
(310) 525-3869
(310) 783-5581

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—

Other

Enumeration date
09/18/2007
Last updated
04/08/2021
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