| NPI | 1144837139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY VO Network Development Manager 562-965-5618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |