| NPI | 1922193556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LYNN GILLILAND Nurse Practitioner 408-366-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA NPF 11076) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-10-22 |