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Contact Information

OPTUM MEDICAL SERVICES OF CALIFORNIA, P.C.
13625 TECHNOLOGY DR
EDEN PRAIRIE, MN55344-2252
 Phone: 615-224-5440
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for OPTUM MEDICAL SERVICES OF CALIFORNIA PC · (Female)

NPI Number 1528458486
Status Active
Credentials
Entity Individual
Enumeration date 01/30/2015
Last updated 01/30/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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