# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1669542510
- **Authorized official:** DR. MARLEEN ANNE YU-LI MD (PHYSICIAN)
- **Authorized official phone:** (209) 476-3422

## Contact information

- **Practice address:** 7375 WEST LANE, STOCKTON, CA 95210
- **Practice address phone:** (209) 476-2080
- **Mailing address:** 5614 SAINT ANDREWS DR, STOCKTON, CA 95219-1928
- **Mailing address phone:** (209) 951-0888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020