| NPI | 1871781179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOBLE DEBAMAKA Executive Director 323-839-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA none yet) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |