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NPI Code Detail

MEDICARE: CALOPTIMA

MEDICARE: CALOPTIMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251T00000XPACE Provider Organization

General Provider Information

NPI Number : 1467870543
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALOPTIMA
Provider Business Mailing Address
First Line : 505 CITY PKWY W
Second Line :
City : ORANGE
State : CA
Zip : 92868-2924
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13300 GARDEN GROVE BLVD
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92843-2207
Country : US
Telephone Number : 714-468-1100
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MICHAE SCHRADER
Credential :
Telephone Number : 714-246-8400
Provider Enumeration Date : 04/04/2014
Last Update Date : 04/04/2014

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Directions to “CALOPTIMA ” Practice Location

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