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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