| NPI | 1104179258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELYN SCHLAEPHER Director 209-525-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA MFC48564) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |