Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN PRIEBE PHD (IOP COORDINATOR)
(707) 645-2372
Entity
Organization
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2842
(707) 624-2831
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-2842
(707) 624-2831
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
27314
CA
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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