| NPI | 1801299532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ALEXANDRIA GULLAP-MOORE Adult Health Nurse Practitioner 805-729-6919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA NP23595) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |