| NPI | 1063533552 |
|---|---|
| Doing Business As | PROSPECT NWOC MEDICAL GROUP INC. |
| Entity Type | Organization |
| Authorized Contact | CATHERINE S DICKSON CEO 714-796-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-07-31 |