# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1407212277
- **Authorized official:** DR. SUNGHUI CRUZ PHARMD (PHARMACY SUPERVISOR)
- **Authorized official phone:** (916) 973-4840

## Contact information

- **Practice address:** 2025 MORSE AVE, SACRAMENTO, CA 95825-2115
- **Practice address phone:** (916) 973-4840
- **Mailing address:** 9444 HARBOUR POINT DR, APT 254, ELK GROVE, CA 95758-3714
- **Mailing address phone:** (626) 758-7230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 69743 | CA | Yes |

## Other

- **Enumeration date:** 01/11/2016
- **Last updated:** 01/11/2016