# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1255649810
- **Authorized official:** AMANDA NICOLE SENSABAUGH (REGISTERED DIETITIAN)
- **Authorized official phone:** (714) 397-0331

## Contact information

- **Practice address:** 5950 VIA DEL TECOLOTE, YORBA LINDA, CA 92887-3552
- **Practice address phone:** (714) 397-0331
- **Mailing address:** 5950 VIA DEL TECOLOTE, YORBA LINDA, CA 92887-3552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 01046423 | CA | Yes |

## Other

- **Enumeration date:** 09/16/2010
- **Last updated:** 09/16/2010