# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1427417666
- **Authorized official:** ASHLEY MARIE CHAVEZ M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (310) 569-4622

## Contact information

- **Practice address:** 1041 ELKGROVE AVE, APARTMENT \#4, VENICE, CA 90291-3191
- **Practice address phone:** (310) 569-4622
- **Mailing address:** 1041 ELKGROVE AVE, APT 4, VENICE, CA 90291-3191
- **Mailing address phone:** (310) 569-4622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 23411 | CA | Yes |

## Other

- **Enumeration date:** 02/16/2016
- **Last updated:** 02/16/2016