| NPI | 1487041679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW WETZEL VP Of Operations 510-921-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: WA A160308321) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |