| NPI | 1255789855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA SMITH Administrator 951-955-1540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA LMFT48591) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |