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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN HOM PHARM.D. (CLINICAL OPERATIONS MANAGER)
(818) 815-6854
Entity
Organization
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(805) 375-2417
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(805) 375-2417
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
71305
CA
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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