| NPI | 1114378577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MODESTA RIVERA Pharmacist 562-208-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 35189) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |