| NPI | 1720422199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN SHURTLEFF Manager 209-476-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA LCS29352) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |