| NPI | 1669856795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD REZA MOVAHED SHARIAT PANAHI Manager 949-400-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ A35065) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |