Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS JANE MOORE RN (NP)
(650) 742-1350
Entity
Organization
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-1350
(650) 742-1311
Mailing address
1019 MONTEREY AVE, FOSTER CITY, CA 94404-3717
(650) 349-5676
(650) 349-0382
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
193145
CA
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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