| NPI | 1669850814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE TERESA MENDOZA Pharmacist 559-294-6730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 41553) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |