| NPI | 1508294638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HELENA PIERCE Mft I 951-683-6596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 71255) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |