| NPI | 1336280940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MCGLONE Chief Operating Officer 858-499-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |