Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN O'CONNOR PSYD (CHEMICAL DEPENDENCY MANAGER)
(925) 295-4596
Entity
Organization
Contact information
Practice address
710 S BROADWAY, WALNUT CREEK, CA 94596-5294
(925) 295-2960
Mailing address
710 S BROADWAY, WALNUT CREEK, CA 94596-5294
(925) 295-2960
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
27912
CA
Other
Enumeration date
07/21/2016
Last updated
09/07/2023
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