| NPI | 1598058901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA KATHRENA KALAW WEEDON Lvn 760-898-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA VN211492) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |