Organization
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Active
Other names
TARGET CLINIC MEDICAL ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN DAVIDOFF (EXECUTIVE MEDICAL DIRECTOR)
(877) 608-0044
Entity
Organization
Contact information
Practice address
2626 COLORADO BLVD, LOS ANGELES, CA 90041-1070
(877) 608-0044
Mailing address
393 E WALNUT ST, GPEU 3RD FLOOR, PASADENA, CA 91188-0001
(877) 608-0044
(877) 514-0903
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
11/02/2021
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