Organization
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Active
Other names
Target Clinic Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN DAVIDOFF MD (EXECUTIVE MEDICAL DIRECTOR)
(877) 608-0044
Entity
Organization
Contact information
Practice address
9100 ROSEDALE HWY, BAKERSFIELD, CA 93312-2143
(877) 608-0044
Mailing address
393 EAST WALNUT ST, GPEU 3RD FLOOR, PASADENA, CA 91188-0001
(877) 608-0044
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
11/02/2021
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