| Kaiser Permanente | |
|
9961 Sierra Ave Fontana CA 92335-6720 | |
| (909) 427-5083 | |
| Not Available |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9961 Sierra Ave, Fontana, California |
| Authorized Official Name and Position | Patricia Trantham (RESIDENCY DIRECTOR) |
| Authorized Official Contact | 9094275083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 9961 Sierra Ave Fontana CA 92335-6720 Ph: () - | Kaiser Permanente 9961 Sierra Ave Fontana CA 92335-6720 Ph: (909) 427-5083 |
| NPI Number | 1992022826 |
|---|---|
| Provider Enumeration Date | 05/03/2010 |
| Last Update Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992022826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A111397 (California) | Primary |
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