| NPI | 1679697999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L RISTENPART Provider Relations 661-716-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA C1463764) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-17 |