| Optum | |
|
11525 Brookshire Ave Ste 300 Downey CA 90241-4982 | |
| (562) 869-4497 | |
| (562) 869-6317 |
| Full Name | Optum |
|---|---|
| Speciality | Internal Medicine |
| Location | 11525 Brookshire Ave Ste 300, Downey, California |
| Authorized Official Name and Position | George Christides (PRESIDENT) |
| Authorized Official Contact | 5628691070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Po Box 1088 Artesia CA 90702-1088 Ph: (562) 869-1070 | Optum 11525 Brookshire Ave Ste 300 Downey CA 90241-4982 Ph: (562) 869-4497 |
| NPI Number | 1629037577 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 05/13/2021 |
| Certification Date | 05/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629037577 | NPI | - | NPPES |
| GR0095550 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3035 (California) | Primary |
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