| NPI | 1649497991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA REDLINGER Director Of Operations 949-487-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-07-21 |