# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1184920076
- **Authorized official:** JULINA HARMANDJIAN MD (RESIDENT PHYSICIAN)
- **Authorized official phone:** (818) 523-2248

## Contact information

- **Practice address:** 580 NORTH TREELINE DRIVE, APT 107, CORONA, CA 92879
- **Practice address phone:** (818) 523-2248
- **Mailing address:** 580 TREELINE DR UNIT 107, CORONA, CA 92879-1197
- **Mailing address phone:** (818) 523-2248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A114490 | CA | Yes |

## Other

- **Enumeration date:** 02/10/2011
- **Last updated:** 02/10/2011