| NPI | 1851926299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI MANEEROD President 626-506-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |