Organization
THE PERMANENTE MEDICAL GROUP.INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY L. SCURRAN DPM (DIRECTOR)
(510) 626-6267
Entity
Organization
Contact information
Practice address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6267
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6267
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
19015 LCS
CA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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