| NPI | 1487361747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY VU Authorized Representative 510-892-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |