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Organization

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA VILLAROSA (ASSISTANT REGIONAL MEDICAL DIRECTOR)
(951) 809-5364
Entity
Organization

Contact information

Practice address
393 E WALNUT ST REGIONAL BEHAVIORAL HEALTH FL 2, PASADENA, CA 91188-0001
(877) 608-0049
Mailing address
393 E WALNUT ST REGIONAL BEHAVIORAL HEALTH FL 2, PASADENA, CA 91188-0001

Taxonomy

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

Other

Enumeration date
10/05/2022
Last updated
10/05/2022
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