# KAISER PERMANENTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003541251
- **Authorized official:** LAURA NYSTROM OTR/L (SENIOR OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (408) 580-6194

## Contact information

- **Practice address:** 1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
- **Practice address phone:** (925) 295-4000
- **Mailing address:** 1425 S MAIN ST, WALNUT CREEK, CA 94596-5318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2022
- **Last updated:** 07/21/2022