| NPI | 1205182623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITRA RAZIPOUR Owner 818-992-5252 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 293731) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |