| NPI | 1629272026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER JOSEPH DELORRELL Licensed Psychotherapist 323-298-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA mfc 29835) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |