Optum Care Network-Inland Faculty Mg
Optum Care Network-Inland Faculty Mg is a Health Maintenance Organization in Colton, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
Practice location Address checks out
952 S Mount Vernon Ave Ste BColton, CA 92324-4224
Phone: (909) 433-9111
Fax: (909) 433-9199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X · Licence 44334241 (CA) |
|---|
Record details
| NPI number | 1750455713 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Valdemar Lucatero — Ipa-Operations Manager · (909) 815-4702 |
| NPI enumerated | November 20, 2006 |
| Last updated in NPPES | June 29, 2022 |
| Certification date | June 29, 2022 |
| Mailing address | 952 S Mount Vernon Ave Ste B, Colton, CA 92324-4224 |