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Organization
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Active
Organization
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Active
Other names
TARGET CLINIC MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN DAVIDOFF (EXECUTIVE MEDICAL DIRECTOR)
(877) 608-0044
Entity
Organization
Contact information
Practice address
8800 WHITTIER BLVD, PICO RIVERA, CA 90660-2658
(877) 608-0044
Mailing address
393 E WALNUT ST, GPEU 3RD FLOOR, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
06/05/2018
Last updated
11/02/2021
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