Organization
TRUVANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE JENKINS (COO)
(818) 208-4120
Entity
Organization
Contact information
Practice address
1801 CENTURY PARK E FL 24, LOS ANGELES, CA 90067-2302
(818) 208-4120
Mailing address
1801 CENTURY PARK E FL 24, LOS ANGELES, CA 90067-2302
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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