# THE PERMANENTE MEDICAL GROUP.INC.

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

## Provider details

- **NPI number:** 1952791931
- **Authorized official:** BARRY L. SCURRAN DPM (DIRECTOR)
- **Authorized official phone:** (510) 626-6267

## Contact information

- **Practice address:** 1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
- **Practice address phone:** (510) 625-6267
- **Mailing address:** 1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
- **Mailing address phone:** (510) 625-6267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 19015 LCS | CA | Yes |

## Other

- **Enumeration date:** 01/29/2015
- **Last updated:** 01/29/2015