| NPI | 1801154976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO LAMAS Chairman 619-955-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 4090164) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CA 4090164) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2015-10-14 |