| NPI | 1578012639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE H. LEE Owner 760-832-7585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA AC16316) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-10-04 |