| NPI | 1184179525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN SHARMA Chief Excutive Officer 661-254-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA VN188467) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |