# SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Target Clinic Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013433465
- **Authorized official:** DR. RAMIN DAVIDOFF (EXECUTIVE MEDICAL DIRECTOR)
- **Authorized official phone:** (877) 608-0044

## Contact information

- **Practice address:** 3527 W FLORIDA AVE, HEMET, CA 92545-3564
- **Practice address phone:** (877) 608-0044
- **Mailing address:** 393 E WALNUT ST FL 3, PASADENA, CA 91188-0011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2017
- **Last updated:** 05/27/2021