| NPI | 1952713950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO OLAGUE President 805-404-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA 59467) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2014-05-24 |