NPI | 1376876912 |
---|---|
Doing Business As | OPTUM |
Entity Type | Organization |
Authorized Contact | CHARLES S SABBAH Medical Director 909-357-1595 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
207R00000X Internal Medicine | |
207R00000X Internal Medicine | |
207Q00000X Family Medicine | |
208000000X Pediatrics | |
Enumeration Date | 2009-09-15 |
Last Update Date | 2023-04-04 |