| Kaiser Permanente | |
|
6041 Cadillac Ave Endocrinology Departement Los Angeles CA 90034-1702 | |
| (323) 857-4035 | |
| Not Available |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6041 Cadillac Ave, Los Angeles, California |
| Authorized Official Name and Position | Ann Eunhee Yoon (DIABETES NURES) |
| Authorized Official Contact | 3238574035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 204 S Arnaz Dr Apt 3 Beverly Hills CA 90211-2818 Ph: (213) 215-5142 | Kaiser Permanente 6041 Cadillac Ave Endocrinology Departement Los Angeles CA 90034-1702 Ph: (323) 857-4035 |
| NPI Number | 1073825162 |
|---|---|
| Provider Enumeration Date | 07/06/2010 |
| Last Update Date | 07/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073825162 | NPI | - | NPPES |
| 17657 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17657 (California) | Primary |
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