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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY G CACACE (INPATIENT DIRECTOR)
(415) 444-4733
Entity
Organization
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4733
Mailing address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-4733
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25513
CA
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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