| NPI | 1568734655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTRAND A MARCANO Owner 323-261-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA A22276) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: CA A22276) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |