| Kaiser Permanente | |
|
204 S Arnaz Dr Apt 3 Beverly Hills CA 90211-2818 | |
| (213) 215-5142 | |
| Not Available |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center |
| Location | 204 S Arnaz Dr Apt 3, Beverly Hills, California |
| Authorized Official Name and Position | Marica Sue Lee (DEPARTMENT ADMINISTRATOR) |
| Authorized Official Contact | 3238574142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 6041 Cadillac Ave Endocrinology Dept #220 Los Angeles CA 90034-1702 Ph: () - | Kaiser Permanente 204 S Arnaz Dr Apt 3 Beverly Hills CA 90211-2818 Ph: (213) 215-5142 |
| NPI Number | 1033430319 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033430319 | NPI | - | NPPES |
| 17657 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 17657 (California) | Primary |
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