| NPI | 1215287933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN FREDERICKA VAUGHAN-WILLIAMS Executive Director 916-289-4730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |