Southern California Permanente Medical Group
NPI #1609446814 in Fontana, California
Provider Information
- NPI Number
- 1609446814
- Entity Type
- Organization
- Organization Name
- Southern California Permanente Medical Group
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jun 29, 2021
- Last Updated
- Jun 29, 2021
Practice Location
- Address
- 17284 SLOVER AVE STE 205
- City
- Fontana
- State
- California
- ZIP Code
- 92337-7584
- Phone
- (626) 405-6942
Authorized Official
- Name
- DR. KHANG NGUYEN
- Title
- DIRECTOR
- Phone
- (626) 405-6942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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