# TRUVANTA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639619166
- **Authorized official:** JOHNNIE JENKINS (COO)
- **Authorized official phone:** (818) 208-4120

## Contact information

- **Practice address:** 1801 CENTURY PARK E FL 24, LOS ANGELES, CA 90067-2302
- **Practice address phone:** (818) 208-4120
- **Mailing address:** 1801 CENTURY PARK E FL 24, LOS ANGELES, CA 90067-2302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 03/02/2017
- **Last updated:** 03/02/2017
