Organization
THE PERMANENTE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY L SCURRAN DPM (CHIEF COMPLIANCE OFFICER)
(510) 625-6262
Entity
Organization
Contact information
Practice address
710 LAWRENCE EXPY, DEPT. 248, SANTA CLARA, CA 95051-5173
(408) 851-7222
Mailing address
75 GARDEN GROVE DR, DALY CITY, CA 94015-3066
(415) 305-6649
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
21083
CA
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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