Whalio Doctors

NPI 1023339165

Optumcare Management, LLC

Organisation Non-Pharmacy Dispensing Site Lakewood, CA

Practice location

Address
5001 Lakewood Blvd, Lakewood, CA 90712-2412
Phone
(562) 361-5650
Mailing address
P.O. Box 6400, Torrance, CA 90504-6400

Authorised official

Name
John G. Liethen
Title
Secretary
Phone
(952) 205-6262

Registered specialties

Non-Pharmacy Dispensing Site Primary
Suppliers Taxonomy 332900000X Licence C38824 (CA)

Registry record

NPI
1023339165
Entity type
Organization
NPI issued
11 Jun 2010
Record last updated
19 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.