Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL LOBUE (ADMINISTRATOR)
(714) 741-3583
Entity
Organization
Contact information
Practice address
12100 EUCLID ST, GARDEN GROVE, CA 92840-3304
(714) 741-3568
Mailing address
12100 EUCLID ST, GARDEN GROVE, CA 92840-3304
(714) 741-3568
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
12208
CA
261QU0200X
Urgent Care Clinic/Center
Primary
12208
CA
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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