| NPI | 1699148593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JONES Manager 424-328-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 71023) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |