| NPI | 1528386042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE B ADEMOLA Executive Director 310-755-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |