NPI | 1003039132 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE PENN Compliance Officer 818-461-5030 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA A33793) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2008-07-15 |