| NPI | 1881141984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LEDEZMA Registered Dental Hygienist 323-812-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 23278) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |