# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1871036681
- **Authorized official:** RUSSELL LOBUE (ADMINISTRATOR)
- **Authorized official phone:** (714) 741-3583

## Contact information

- **Practice address:** 12100 EUCLID ST, GARDEN GROVE, CA 92840-3304
- **Practice address phone:** (714) 741-3568
- **Mailing address:** 12100 EUCLID ST, GARDEN GROVE, CA 92840-3304
- **Mailing address phone:** (714) 741-3568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 12208 | CA | — |
| 261QU0200X | Urgent Care Clinic/Center | 12208 | CA | Yes |

## Other

- **Enumeration date:** 11/28/2016
- **Last updated:** 11/28/2016