| NPI | 1104094770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK WILLIAM BARKER Counselor 408-885-3406 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305S00000X Point of Service |
| 305S00000X Point of Service (Licence: CA N4342331) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |