# KAISER PERMANENT

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

## Provider details

- **NPI number:** 1669548863
- **Authorized official:** JUDY IM PHARMD (AMBCARE PHARMACIST)
- **Authorized official phone:** (408) 851-9302

## Contact information

- **Practice address:** 710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
- **Practice address phone:** (408) 851-9302
- **Mailing address:** 4220 LOS PALOS AVE, PALO ALTO, CA 94306-4309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | RPH41947 | CA | Yes |

## Other

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