Organization
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN DAVIDOFF (EXECUTIVE MEDICAL DIRECTOR)
(877) 608-0044
Entity
Organization
Contact information
Practice address
13000 PEYTON DR, CHINO HILLS, CA 91709-6004
(888) 750-0036
Mailing address
393 E WALNUT ST FL 3, PASADENA, CA 91188-0001
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/10/2016
Last updated
05/27/2021
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