# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1225239049
- **Authorized official:** DR. RAVIN RUPANI M.D. (PHYSICIAN)
- **Authorized official phone:** (626) 674-2015

## Contact information

- **Practice address:** 1900 E LAMBERT RD, BREA, CA 92821-4371
- **Practice address phone:** (888) 988-2800
- **Mailing address:** 1363 CUSTOZA AVE, ROWLAND HEIGHTS, CA 91748-2211
- **Mailing address phone:** (626) 674-2015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | A92837 | CA | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020
