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Organization

KAISER PERMANENTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WALTER JOSEPH DELORRELL JR. MFT (LICENSED PSYCHOTHERAPIST)
(323) 298-3100
Entity
Organization

Contact information

Practice address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
(323) 298-3100
(323) 298-3119
Mailing address
10876 MARIETTA AVE, CULVER CITY, CA 90232-3714
(310) 836-7195

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MFC 29835
CA

Other

Enumeration date
06/12/2007
Last updated
08/22/2020
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