# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1013390111
- **Authorized official:** MISS KRIS KELLER (DIRECTOR OF REHAB SERVICES)
- **Authorized official phone:** (818) 719-2148

## Contact information

- **Practice address:** 5601 DE SOTO AVE, WOODLAND HILLS, CA 91367-6701
- **Practice address phone:** (310) 719-2937
- **Mailing address:** 741 ROBINSON RD, TOPANGA, CA 90290-3624
- **Mailing address phone:** (310) 455-8731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 12736 | CA | Yes |

## Other

- **Enumeration date:** 07/07/2015
- **Last updated:** 07/07/2015