| NPI | 1356877948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM SAYYEDI Clinical Supervisor 949-502-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA PSB94022377) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |