# THE PERMANENTE MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1669548657
- **Authorized official:** MS. JACQUELYN QUINN (HR ADMINISTRATOR)
- **Authorized official phone:** (510) 625-6266

## Contact information

- **Practice address:** 710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
- **Practice address phone:** (408) 851-1000
- **Mailing address:** 11811 VENICE BLVD APT 211, LOS ANGELES, CA 90066-3933
- **Mailing address phone:** (408) 230-3222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | A88751 | CA | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 08/22/2020