| NPI | 1396780870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL HRABKO President 213-413-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA FNP 34335) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |