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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY RAFF (CLINICAL OPERATIONS MANAGER)
(415) 599-6573
Entity
Organization
Contact information
Practice address
4932 SANTIAGO DRIVE, LA PALMA, CA 90623
(562) 287-9068
Mailing address
4932 SANTIAGO DRIVE, LA PALMA, CA 90623
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
09/22/2016
Last updated
04/20/2021
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