| NPI | 1619121258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA JIMENEZ Office Assistant 310-963-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA PSY11839) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |