| Kaiser Permanente | |
|
1200 El Camino Real South San Francisco CA 94080-3208 | |
| (650) 742-1350 | |
| (650) 742-1311 |
| Full Name | Kaiser Permanente |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1200 El Camino Real, South San Francisco, California |
| Authorized Official Name and Position | Phyllis Jane Moore (NP) |
| Authorized Official Contact | 6507421350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Permanente 1019 Monterey Ave Foster City CA 94404-3717 Ph: (650) 349-5676 | Kaiser Permanente 1200 El Camino Real South San Francisco CA 94080-3208 Ph: (650) 742-1350 |
| NPI Number | 1982766549 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982766549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 193145 (California) | Primary |
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