NPI | 1043218134 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE LI HARPER Chief Executive Officer 415-292-8883 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CA 9330385) |
Enumeration Date | 2005-07-12 |
Last Update Date | 2022-05-13 |