| NPI | 1578576880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DILLARD Director Of Business Services 562-906-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 35363) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CA 35363) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-12 |