# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1730489485
- **Authorized official:** MS. MIKA SUGANO-ISA RD (CLINICAL DIETITIAN II)
- **Authorized official phone:** (323) 783-1557

## Contact information

- **Practice address:** 4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
- **Practice address phone:** (323) 783-1557
- **Mailing address:** 4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
- **Mailing address phone:** (323) 783-1557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 931163 | CA | Yes |

## Other

- **Enumeration date:** 10/28/2010
- **Last updated:** 10/28/2010