| NPI | 1538377171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD SIEGEL President 818-707-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |