# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1952835662
- **Authorized official:** NANCY PHAM MS, RD (REGISTERED DIETITIAN/HEALTH EDUCATO)
- **Authorized official phone:** (626) 991-6046

## Contact information

- **Practice address:** 1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
- **Practice address phone:** (626) 851-5820
- **Mailing address:** 12859 WACO ST, BALDWIN PARK, CA 91706-3644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 86026060 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2017
- **Last updated:** 04/19/2017