| NPI | 1225499510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMA LYNN TOBIASSEN Clinical Director Of Pediatrics 714-644-4321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA NP8402) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |