| NPI | 1942477757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA OFELIA CRUZ DE PORTILLO Nurse Practitioner 213-893-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 586319 NPC16628) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |