| NPI | 1366807414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTIAN RICO Regional Medical Director 323-558-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 95002310) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |