NPI | 1912156217 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL HENRY GIBONEY Physician 323-987-1401 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA A067450) |
Enumeration Date | 2008-09-11 |
Last Update Date | 2008-09-11 |