Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY-JEANNE H DER AVEDISSIAN MS RD CNSD (ASSISTANT DIRECTOR)
(323) 783-1552
Entity
Organization
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-1552
(323) 783-0026
Mailing address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(323) 783-0026
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
590756
CA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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