| NPI | 1427237577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAGNER DE LUCA FARIA President 909-885-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 44169) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |