| NPI | 1043559453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA C OTA Owner 909-797-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 57849) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |