| NPI | 1780309468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VILLAROSA Assistant Regional Medical Director 951-809-5364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |