| Optum Medical Services Of California, P.c. | |
|
13625 Technology Dr Eden Prairie MN 55344-2252 | |
| (615) 224-5440 | |
| Not Available |
| Full Name | Optum Medical Services Of California, P.c. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 13625 Technology Dr, Eden Prairie, Minnesota |
| Authorized Official Name and Position | James A Mittelberger (PRESIDENT) |
| Authorized Official Contact | 6126325372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Optum Medical Services Of California, P.c. 13625 Technology Dr Eden Prairie MN 55344-2252 Ph: (615) 224-5440 | Optum Medical Services Of California, P.c. 13625 Technology Dr Eden Prairie MN 55344-2252 Ph: (615) 224-5440 |
| NPI Number | 1528458486 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528458486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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