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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA NICOLE SENSABAUGH (REGISTERED DIETITIAN)
(714) 397-0331
Entity
Organization
Contact information
Practice address
5950 VIA DEL TECOLOTE, YORBA LINDA, CA 92887-3552
(714) 397-0331
Mailing address
5950 VIA DEL TECOLOTE, YORBA LINDA, CA 92887-3552
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
01046423
CA
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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