| NPI | 1669705836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANALYN B GONZALES Lvn 858-571-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 951944230) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |