Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Active
Organization
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA HOLBROOK-LOWE (DEPARTMENT ADMINISTRATOR)
(951) 233-0023
Entity
Organization
Contact information
Practice address
3951 VAN BUREN BLVD, RIVERSIDE, CA 92503-3620
(866) 862-4295
Mailing address
3951 VAN BUREN BLVD, RIVERSIDE, CA 92503-3620
(866) 883-0119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up