| NPI | 1629677760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE. ANA BAUGH Registered Dietitian 714-310-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |