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Organization
KAISER PERMANENT
Active
Organization
KAISER PERMANENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY IM PHARMD (AMBCARE PHARMACIST)
(408) 851-9302
Entity
Organization
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-9302
Mailing address
4220 LOS PALOS AVE, PALO ALTO, CA 94306-4309
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RPH41947
CA
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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