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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK PEDERSEN PSY.D. (PRIMARY SUPERVISOR)
(408) 363-4864
Entity
Organization
Contact information
Practice address
275 HOSPITAL PKWY, SUITE NUMBER 370, SAN JOSE, CA 95119-1106
(408) 972-3366
Mailing address
275 HOSPITAL PKWY, SUITE NUMBER 370, SAN JOSE, CA 95119-1106
(408) 972-3366
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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