| NPI | 1679831325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA LYNN WHEATON-YOUNG Fnp Msn 619-582-6950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 478956) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |