| Optumcare Management, Llc | |
|
19191 S Vermont Ave Suite 200 Torrance CA 90502-1018 | |
| (310) 354-4221 | |
| Not Available |
| Full Name | Optumcare Management, Llc |
|---|---|
| Speciality | General Practice |
| Location | 19191 S Vermont Ave, Torrance, California |
| Authorized Official Name and Position | John G. Liethen (SECRETARY) |
| Authorized Official Contact | 9522056262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optumcare Management, Llc P.o. Box 6400 Torrance CA 90504-6400 Ph: (310) 354-4221 | Optumcare Management, Llc 19191 S Vermont Ave Suite 200 Torrance CA 90502-1018 Ph: (310) 354-4221 |
| NPI Number | 1780098525 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780098525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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