Elite Health Plan, Inc.
NPI #1053134098 in Ontario, California
Provider Information
- NPI Number
- 1053134098
- Entity Type
- Organization
- Organization Name
- Elite Health Plan, Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Nov 7, 2024
- Last Updated
- Nov 7, 2024
Practice Location
- Address
- 1131 W 6TH ST STE 255
- City
- Ontario
- State
- California
- ZIP Code
- 91762-1117
- Phone
- (909) 630-2031
Authorized Official
- Name
- MS. GAIL MARIE BLACKLOCK, CHC
- Title
- CHIEF COMPLIANCE OFFICER
- Phone
- (909) 630-2031
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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