Organization
PERMANENTE MEDICAL GROUP, INC.
Active
Organization
PERMANENTE MEDICAL GROUP, INC.
Active
Parent organization
PERMANENTE MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERMANENTE MEDICAL GROUP, INC.
Authorized official
MS. PATRICIA T WEST (CHIEF FINANCIAL OFFICER)
(510) 295-7207
Entity
Organization
Contact information
Practice address
1725 EASTSHORE HWY, BERKELEY, CA 94710-1703
(510) 559-5116
Mailing address
5820 OWENS DR. BUILDING E, 2ND FLOOR, TPMG FINANCIAL MANAGEMENT, PLEASANTON, CA 94588-3900
(510) 987-1000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
10751 & 3237
CA
Other
Enumeration date
12/19/2006
Last updated
11/20/2024
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