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OPTUMCARE MANAGEMENT LLC NPI 1881908887


NPI Information

NPI: 1881908887
Provider Name: OPTUMCARE MANAGEMENT, LLC

Doing Business As: HEALTHCARE PARTNERS - SAN ANTONIO

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 05D1084398

Address:
4401 ATLANTIC AVE
3RD
LONG BEACH, CA
ZIP 90807
Phone: (562) 481-3500
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OPTUMCARE MANAGEMENT, LLC is a non pharmacy dispensing site in Long Beach, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) OPTUMCARE MANAGEMENT, LLC NPI is 1881908887. The provider is registered as an organization entity type.
The provider Is Doing Business As Healthcare Partners - San Antonio.

The provider's business location address is:

4401 ATLANTIC AVE
3RD
LONG BEACH, CA
ZIP 90807-218
Phone: (562) 481-3500

The provider's authorized official is John G. Liethen .
The authorized official title is Secretary and has the following contact phone number (952) 205-6262.

The CLIA number assigned to this NPI record is 05D1084398 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/2/2010 and was last updated on 8/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332900000XNon-Pharmacy Dispensing Site12879CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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