# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1699148593
- **Authorized official:** JENNIFER JONES (MANAGER)
- **Authorized official phone:** (424) 328-2110

## Contact information

- **Practice address:** 25965 S. NORMANDIE AVEUNE, HARBOR CITY, CA 90710
- **Practice address phone:** (424) 328-2110
- **Mailing address:** 647 LANNY AVE, LA PUENTE, CA 91744-3147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 71023 | CA | Yes |

## Other

- **Enumeration date:** 11/02/2015
- **Last updated:** 11/02/2015