| NPI | 1801144779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA MARIE COLEMAN Executive Director 916-202-4415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2012-08-26 |