| NPI | 1083878367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINERVA CARRILLO Intern 650-494-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 10410000x) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |