Organization
CALOPTIMA
Active
Other names
CalOptima PACE
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAE SCHRADER (CHIEF EXECUTIVE OFFICER)
(714) 246-8400
Entity
Organization
Contact information
Practice address
13300 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-2207
(714) 468-1100
Mailing address
505 CITY PKWY W, ORANGE, CA 92868-2924
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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