| NPI | 1144461831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA CASTRO President/Administrator 562-786-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2009-03-10 |