Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARICA SUE LEE (DEPARTMENT ADMINISTRATOR)
(323) 857-4142
Entity
Organization
Contact information
Practice address
204 S ARNAZ DR APT 3, BEVERLY HILLS, CA 90211-2818
(213) 215-5142
Mailing address
6041 CADILLAC AVE, ENDOCRINOLOGY DEPT #220, LOS ANGELES, CA 90034-1702
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
17657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17657
—
CA
Enumeration date
06/21/2010
Last updated
06/21/2010
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