| NPI | 1780069179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE H GILET Health Manager 619-339-1084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 735742) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |