| NPI | 1699489807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIRA HASHMI A VP Clinical Operations 562-619-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |