Optum Care Network-Inland Faculty Mg
NPI #1750455713 in Colton, California
Provider Information
- NPI Number
- 1750455713
- Entity Type
- Organization
- Organization Name
- Optum Care Network-Inland Faculty Mg
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Nov 20, 2006
- Last Updated
- Jun 29, 2022
Practice Location
- Address
- 952 S MOUNT VERNON AVE STE B
- City
- Colton
- State
- California
- ZIP Code
- 92324-4224
- Phone
- (909) 433-9111
Authorized Official
- Name
- VALDEMAR LUCATERO
- Title
- IPA-OPERATIONS MANAGER
- Phone
- (909) 815-4702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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