| NPI | 1104710342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYA GABRIELLE MORALES Lead, Credentialing 714-487-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |