# KAISER PERMANETE SANTA CLARA

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

## Provider details

- **NPI number:** 1124281100
- **Authorized official:** JOHN WILLIAM PHILLIP M.D. (RESISENT)
- **Authorized official phone:** (408) 851-7225

## Contact information

- **Practice address:** 710 LAWRENCE EXPY, GME DEPT. 384, SANTA CLARA, CA 95051-5173
- **Practice address phone:** (408) 851-3841
- **Mailing address:** 710 LAWRENCE EXPWY GME, DEPT 384, SANTA CLARA, CA 95051
- **Mailing address phone:** (408) 851-3841

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | XXXXXXXXXXXXXXXXXXX | CA | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 07/09/2008