NPI | 1538530795 |
---|---|
Doing Business As | AGUA DULCE HOME CARE 1 & 2 |
Entity Type | Organization |
Authorized Contact | LAMBERTO BERNIA CAMUA Administrator 310-344-3103 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 336423690) |
Enumeration Date | 2015-10-14 |
Last Update Date | 2015-10-14 |