| NPI | 1114732369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE MINASSIAN CEO 323-818-7018 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-05-22 |