# KAISER PERMANENTE

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

## Provider details

- **NPI number:** 1962665216
- **Authorized official:** DIANE VECCHI MS, RD (REGISTERED DIETITIAN)
- **Authorized official phone:** (650) 742-3199

## Contact information

- **Practice address:** 1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
- **Practice address phone:** (650) 742-3199
- **Mailing address:** 1034 MAGNOLIA ST, OAKLAND, CA 94607-2231
- **Mailing address phone:** (510) 465-2350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 965781 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/08/2008
