| NPI | 1124586490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA MAFFEI Billing Manager 818-501-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |