Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIKA SUGANO-ISA RD (CLINICAL DIETITIAN II)
(323) 783-1557
Entity
Organization
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-1557
Mailing address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-1557
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
931163
CA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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