| NPI | 1598156119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA MARIANO ANTOLIN Dds 818-703-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 49053) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |