| NPI | 1992255673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO MARTINEZ Hearing Aid Dispenser 323-721-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 8135) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |