Optumcare Colorado Medical Group LLC
Psychiatry & Neurology, Neurology in Golden, CO. Organization (NPI-2).
NPI number1619702180
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1619702180
- Entity type
- Organization (NPI-2)
- Legal business name
- Optumcare Colorado Medical Group LLC
- Organization subpart
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | Yes |
| 207RE0101X | Internal Medicine, Endocrinology, Diabetes & Metabolism | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363LA2200X | Nurse Practitioner, Adult Health | – | – |
Other names
- New West Physicians Specialty Center (Doing Business As)
Practice location
1707 Cole Blvd Ste 150Golden, CO 80401-3255
Phone 303-716-8027 · Fax 303-238-5258
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
Phone 719-463-5600
Authorized official
Emily Castillo
Associate Director Credentialing
7025793253
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