MEDICARE: OPTUMCARE MANAGEMENT, LLC

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
1	332900000X	Non-Pharmacy Dispensing Site	C38824	CA

General Provider Information

NPI Number	:	1023339165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTUMCARE MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	P.O. BOX 6400
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90504-6400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5001 LAKEWOOD BLVD
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-2412
Country	:	US
Telephone Number	:	562-361-5650
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	JOHN G. LIETHEN
Credential	:
Telephone Number	:	952-205-6262

Provider Enumeration Date	:	06/11/2010
Last Update Date	:	08/19/2019

Similar Medicare Providers

1750348363 — THAO YEN HOANG D.O.
Practice Location Address:

5001 LAKEWOOD BLVD STE C
LAKEWOOD, CA
90712-2412

Practice Phone: 562-361-5671
Practice Fax:

1265708531 — JOHANA ESTHER FLORES RIOS M.D.
Practice Location Address:

5001 LAKEWOOD BLVD
LAKEWOOD, CA
90712-2412

Practice Phone: 562-361-5650
Practice Fax:

1679436448 — VERONICA FREEDMAN
Practice Location Address:

3947 FAIRMAN ST
LAKEWOOD, CA
90712-3855

Practice Phone: 562-331-9623
Practice Fax:

1215890983 — SAMPLEX A PROFESSIONAL CORPORATION
Practice Location Address:

3650 SOUTH ST STE 308
LAKEWOOD, CA
90712-1518

Practice Phone: 562-633-2275
Practice Fax:

1558189761 — SPENCER STERLING DPM
Practice Location Address:

5750 DOWNEY AVE STE 203
LAKEWOOD, CA
90712-1471

Practice Phone: 562-200-0334
Practice Fax:

1093848509 — PROHEALTH PARTNERS A MEDICAL GROUP INC
Practice Location Address:

5750 DOWNEY AVE , SUITE 100
LAKEWOOD, CA
90712-1405

Practice Phone: 562-630-3105
Practice Fax: 562-630-3853

Directions to “OPTUMCARE MANAGEMENT, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.