| NPI | 1861879025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE DE LA GARZA Chief Executive Officer 800-633-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 933-0485) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |