| NPI | 1124223094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE MARY SULLIVAN Advice Nurse 619-221-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA f219608) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2008-07-10 |