Organization
ORANGE PREVENTION AND TREATMENT INTEGRATED MEDICAL ASSISTANCE
Active
Other names
CalOptima
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PIJLOO LCSW (MSSP SITE DIRECTOR)
(714) 246-8500
Entity
Organization
Contact information
Practice address
505 CITY PKWY W, ORANGE, CA 92868-2924
(714) 246-8500
Mailing address
505 CITY PKWY W, ORANGE, CA 92868-2924
(714) 246-8500
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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