| NPI | 1457657116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN GOMEZ M.D. 559-499-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 390200000X) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |