Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY PHAM MS, RD (REGISTERED DIETITIAN/HEALTH EDUCATO)
(626) 991-6046
Entity
Organization
Contact information
Practice address
1011 BALDWIN PARK BLVD, BALDWIN PARK, CA 91706-5806
(626) 851-5820
Mailing address
12859 WACO ST, BALDWIN PARK, CA 91706-3644
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
86026060
CA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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