| NPI | 1548420649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GARDINER Vice President Financial Operations 562-467-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |