| NPI | 1831872134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STEWART BLACK Administrator 626-943-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2024-11-12 |