| NPI | 1184028797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIA JOHNSON Clinic Director 805-929-3254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 63651) |
| Enumeration Date | 2014-10-11 |
| Last Update Date | 2014-10-11 |