| NPI | 1952791931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY L. SCURRAN Director 510-626-6267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 19015 LCS) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |