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
11706 DARLINGTON AVE, APT 202, LOS ANGELES, CA 90049-5517
(310) 613-5566
(310) 442-6633
Mailing address
P.O. BOX 6400, TORRANCE, CA 90504-6400
(310) 613-5566
(310) 442-6633
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A62946
CA
Other
Enumeration date
07/19/2006
Last updated
08/19/2019
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