| NPI | 1275657314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MANDEL President CEO 626-254-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 225400000x) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-07-22 |