Kaiser Permanente Medical Group

NPI #1780845131 in Oakland, California

Provider Information

NPI Number: 1780845131
Entity Type: Organization
Organization Name: Kaiser Permanente Medical Group
Primary Specialty: Physical Therapist
Enumeration Date: Jun 18, 2008
Last Updated: Jun 18, 2008

Practice Location

Address: 280 W MACARTHUR BLVD
City: Oakland
State: California
ZIP Code: 94611-5642
Phone: (510) 752-6179

Authorized Official

Name: MRS. DONNA MATSUNAGA
Title: DIRECTOR OF REHABILATION SERVICES
Phone: (510) 752-6179

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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