| NPI | 1700186616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA PERIALES Director Of Patient Care 619-392-9331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 2010023464) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |