| NPI | 1942670419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TISHMAN Fiscal Officer 510-644-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 0190) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |