Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA TRANTHAM MD (RESIDENCY DIRECTOR)
(909) 427-5083
Entity
Organization
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5083
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A111397
CA
Other
Enumeration date
05/03/2010
Last updated
04/14/2021
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