# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1891951612
- **Authorized official:** MRS. JANIE MOSES B.A (MANAGER)
- **Authorized official phone:** (925) 295-6933

## Contact information

- **Practice address:** 710 S BROADWAY, SUITE 209, WALNUT CREEK, CA 94596-5294
- **Practice address phone:** (925) 295-6944
- **Mailing address:** 710 S BROADWAY, SUITE 209, WALNUT CREEK, CA 94596-5294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 07/31/2008
- **Last updated:** 07/31/2008