| NPI | 1013390111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS KELLER Director Of Rehab Services 818-719-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 12736) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |