| NPI | 1578961892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE STEPHENS BUTLER Medi Com Manager, Pharmacy & Formula 213-694-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 49118) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |