| NPI | 1386020303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASTULO DE LA ROCHA CEO 877-462-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 847492) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |