| NPI | 1477679561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PAREDES Rehabilitation Counselor 408-272-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 101YA0400X) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |