| NPI | 1558642447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMA ROSSMAN Program Director 916-233-6790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 1004707) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |