| NPI | 1790999506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OPHELIA GARCIA- ADEMCZUK Owner 951-681-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 36540) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-08-15 |