Organization
ORANGE PREVENTION AND TREATMENT INTEGRATED MEDICAL ASSISTANCE
Active
Other names
CalOptima Health
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANN NELSON DSW (EXECUTIVE DIRECTOR, MEDI-CAL/CALAIM)
(661) 733-2858
Entity
Organization
Contact information
Practice address
7900 GARDEN GROVE BLVD, GARDEN GROVE, CA 92841-4208
(661) 733-2858
Mailing address
505 CITY PKWY W, ORANGE, CA 92868-2924
(661) 733-2858
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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