| NPI | 1811384498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYVAN SAFINYA Counselor/Case Manager 805-403-8524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |