# SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

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

## Provider details

- **NPI number:** 1780309468
- **Authorized official:** DR. MARIA VILLAROSA (ASSISTANT REGIONAL MEDICAL DIRECTOR)
- **Authorized official phone:** (951) 809-5364

## Contact information

- **Practice address:** 393 E WALNUT ST REGIONAL BEHAVIORAL HEALTH FL 2, PASADENA, CA 91188-0001
- **Practice address phone:** (877) 608-0049
- **Mailing address:** 393 E WALNUT ST REGIONAL BEHAVIORAL HEALTH FL 2, PASADENA, CA 91188-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2022
- **Last updated:** 10/05/2022