| NPI | 1992869911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY T WONG Pharmacist Manager 714-748-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA 43210) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |