| NPI | 1225544158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JONES CEO 323-867-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 302F00000X Exclusive Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |