# SOUTHERN CALIFORNIA KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1366980831
- **Authorized official:** VALENTINA AGUSTIN (MD)
- **Authorized official phone:** (714) 644-2800

## Contact information

- **Practice address:** 3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020
- **Practice address phone:** (714) 644-2800
- **Mailing address:** 3440 E LA PALMA AVE, ANAHEIM, CA 92806-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A115922 | CA | Yes |

## Other

- **Enumeration date:** 02/05/2017
- **Last updated:** 02/05/2017
