Kaiser Permanente

NPI #1407249139 in Eastvale, California

Provider Information

NPI Number
1407249139
Entity Type
Organization
Organization Name
Kaiser Permanente
Primary Specialty
Health Maintenance Organization
Enumeration Date
Mar 5, 2015
Last Updated
Mar 5, 2015

Practice Location

Address
13748 HEATHERWOOD DR
ZIP Code
92880-0713
Phone
(402) 318-4165

Authorized Official

Name
MRS. ANGELA RENEE DAVIS, RN
Title
RN
Phone
(402) 318-4165

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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