| NPI | 1396951141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEITH SORRENTINO Chief Medical Officer 949-260-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |