Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETH MEDINA RN (REGISTERED NURSE)
(510) 262-9499
Entity
Organization
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2375
Mailing address
4 JO-LIN COURT, EL SOBRANTE, CA 94803
(510) 262-9499
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
450481
CA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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