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Organization

KAISER PERMANENTE, SUNSET BL. LA, ,CA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY-JEANNE H DER AVEDISSIAN MS,RD (ASSISTANT DIRECTOR)
(323) 783-1552
Entity
Organization

Contact information

Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-1552
Mailing address
626 MYRTLE ST, GLENDALE, CA 91203-1612
(818) 240-4328

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
590756
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1245454982
HOSPITAL
CA
Enumeration date
04/12/2007
Last updated
08/22/2020
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