| NPI | 1548719982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MO VP 408-821-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA AC15174) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2016-09-27 |