| NPI | 1134151657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIN DAVIDOFF Executive Medical Director 877-608-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2021-11-02 |