NPI | 1942415690 |
---|---|
Doing Business As | SAN PEDRO ADHC |
Entity Type | Organization |
Authorized Contact | VALENTINA V LEIBZON Program Director 310-519-9880 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 060000895) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |