# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1164717161
- **Authorized official:** MR. STEVEN PRIEBE PHD (IOP COORDINATOR)
- **Authorized official phone:** (707) 645-2372

## Contact information

- **Practice address:** 1 QUALITY DR, VACAVILLE, CA 95688-9494
- **Practice address phone:** (707) 624-2842
- **Practice address fax:** (707) 624-2831
- **Mailing address:** 1 QUALITY DR, VACAVILLE, CA 95688-9494
- **Mailing address phone:** (707) 624-2842
- **Mailing address fax:** (707) 624-2831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 27314 | CA | Yes |

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 06/17/2011