| NPI | 1598851644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGEN RODRIQUEZ Owner 702-878-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NV H1496422F128570) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |