Provider Demographics
NPI:1144994765
Name:OPTUM HEALTH
Entity type:Organization
Organization Name:OPTUM HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DPCS, ADMINISTRATOR, CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE PRACTITIONER
Authorized Official - Phone:818-725-1025
Mailing Address - Street 1:435 ARDEN AVE STE 560
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1142
Mailing Address - Country:US
Mailing Address - Phone:818-725-1025
Mailing Address - Fax:888-836-5290
Practice Address - Street 1:1918 S COURT ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-5426
Practice Address - Country:US
Practice Address - Phone:818-725-1025
Practice Address - Fax:888-836-5290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based