Optumcare Management, LLC
NPI #1699085340 in Northridge, California
Provider Information
- NPI Number
- 1699085340
- Entity Type
- Organization
- Organization Name
- Optumcare Management, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Oct 15, 2010
- Last Updated
- Aug 19, 2019
Practice Location
- Address
- 18433 ROSCOE BLVD
- Address 2
- 206
- City
- Northridge
- State
- California
- ZIP Code
- 91325-4108
- Phone
- (818) 341-1540
Authorized Official
- Name
- JOHN G. LEITHEN
- Title
- SECRETARY
- Phone
- (952) 205-6262
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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