# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1558552273
- **Authorized official:** NANETTE MOSLEY (DEPARTMENT ADMINISTRATOR)
- **Authorized official phone:** (626) 851-6749

## Contact information

- **Practice address:** 1011 BALDWIN PARK BLVD, DEPT OF CARDIOLOGY, BALDWIN PARK, CA 91706-5806
- **Practice address phone:** (626) 851-6749
- **Mailing address:** 1011 BALDWIN PARK BLVD, CARDIOLOGY, BALDWIN PARK, CA 91706-5806
- **Mailing address phone:** (626) 851-6749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A78776 | CA | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 08/07/2007