NPI | 1710740485 |
---|---|
Former Legal Business Name | WECARE OF ORANGE COUNTY IPA |
Entity Type | Organization |
Authorized Contact | PAVEL POGODIN Managing Partner 201-981-0020 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-29 |