OrganizationActive
Optum Medical Services of California, P.C.
NPI 1528458486 · Geriatric Medicine (Family Medicine) Physician · Eden Prairie, MN
Provider details
- NPI number
- 1528458486
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Mittelberger, President(612) 632-5372
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13625 Technology Dr
Eden Prairie, MN 55344-2252
Phone: (615) 224-5440
Approximate (ZIP-level) locationGet directions
Mailing address
13625 Technology Dr
Eden Prairie, MN 55344-2252
Registry dates
- Enumerated
- 2015-01-30
- Last updated
- 2015-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.