| NPI | 1164805941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANI ARTAKOVNA MAKARYAN Owner 1323-528-2970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 197608678) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |