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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY TRUONG (MD)
(951) 353-4988
Entity
Organization
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-4988
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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