| NPI | 1407999402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO CARLOS DOMINGUEZ Pychiatric Technician 805-692-4874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA Pt26056) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-08-22 |