NPI | 1386980555 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHANIEL TOLLEFSON Supervisor 951-778-3504 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA HO502091228) |
Enumeration Date | 2012-12-17 |
Last Update Date | 2012-12-17 |