| NPI | 1578938981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MLEYNEK Managing Partner 714-845-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 95002827) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: CA 95002827) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |