| NPI | 1003444175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAN NHU BICH PHAN Chief Operating Officer 818-399-8996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |