# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1922342443
- **Authorized official:** DR. JOSE L MAGANA MD (RESIDENT)
- **Authorized official phone:** (909) 427-5084

## Contact information

- **Practice address:** 9961 SIERRA AVE, FONTANA, CA 92335-6720
- **Practice address phone:** (909) 427-5084
- **Mailing address:** 9961 SIERRA AVE, FONTANA, CA 92335-6720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A122627 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2012
- **Last updated:** 11/21/2012