# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1093911620
- **Authorized official:** DR. LISA P DOW PH.D. (PSYCHOLOGIST)
- **Authorized official phone:** (562) 657-2860

## Contact information

- **Practice address:** 9449 IMPERIAL HWY, PM&R GARDEN 4TH FL, DOWNEY, CA 90242-2814
- **Practice address phone:** (562) 657-2860
- **Mailing address:** 3075 NIGHTWIND CIR, CORONA, CA 92882-6061
- **Mailing address phone:** (909) 234-5699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | PSY16520 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2007
- **Last updated:** 08/22/2020