# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1225499510
- **Authorized official:** DR. CARMA LYNN TOBIASSEN NP (CLINICAL DIRECTOR OF PEDIATRICS)
- **Authorized official phone:** (714) 644-4321

## Contact information

- **Practice address:** 3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
- **Practice address phone:** (714) 644-4321
- **Mailing address:** 3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
- **Mailing address phone:** (714) 644-4321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | NP8402 | CA | Yes |

## Other

- **Enumeration date:** 03/14/2016
- **Last updated:** 03/14/2016
