| NPI | 1770953499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM KRATIAN Owner 818-434-3089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 197608684) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |