| NPI | 1093148652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOU RANE Doctor 310-277-0241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: 133N00000X) |
| Enumeration Date | 2013-08-17 |
| Last Update Date | 2013-08-17 |