| NPI | 1407212277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNGHUI CRUZ Pharmacy Supervisor 916-973-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 69743) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |