| NPI | 1205213220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAO ANH LE Owner 623-845-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ D 5552) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |