Southern California Permanente Medical Group
NPI #1770515280 in Baldwin Park, California
Provider Information
- NPI Number
- 1770515280
- Entity Type
- Organization
- Organization Name
- Southern California Permanente Medical Group
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Jul 7, 2006
- Last Updated
- Oct 1, 2021
Practice Location
- Address
- 1011 BALDWIN PARK BLVD
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-5806
- Phone
- (626) 851-1011
Authorized Official
- Name
- RAMIN DAVIDOFF, M.D.
- Title
- EXECUTIVE MEDICAL DIRECTOR
- Phone
- (877) 608-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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