| NPI | 1073918033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDA M PINEDA President 213-364-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA A122580) |
| Enumeration Date | 2014-11-03 |
| Last Update Date | 2014-11-03 |