Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JONES (MANAGER)
(424) 328-2110
Entity
Organization
Contact information
Practice address
25965 S. NORMANDIE AVEUNE, HARBOR CITY, CA 90710
(424) 328-2110
Mailing address
647 LANNY AVE, LA PUENTE, CA 91744-3147
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
71023
CA
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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