Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELISSA S LIONG RPH (PROJECT MANAGER)
(925) 294-7004
Entity
Organization
Contact information
Practice address
300 PULLMAN ST, ADMIN BLDG 2ND FLOOR, LIVERMORE, CA 94550
(925) 294-7004
Mailing address
300 PULLMAN ST, ADMIN BLDG 2ND FLOOR, LIVERMORE, CA 94550
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41064
RPH
CA
Enumeration date
04/22/2015
Last updated
04/22/2015
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