Organization
KAISER PERMANENTE PANORAMA CITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANINE BOUDAKIAN (PHYSICIAN COMPENSATION-APC)
(818) 375-2809
Entity
Organization
Contact information
Practice address
393 E. WALNUT ST, FL 3 -PHRS, PASADENA, CA 91188-0001
(626) 405-7914
Mailing address
393 E. WALNUT ST, FL 3 -PHRS, PASADENA, CA 91188-0001
(626) 405-7914
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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