Whalio Doctors

NPI 1083002315

Kaiser Permanente

Organisation Psychiatric Hospital Unit San Rafael, CA

Practice location

Address
111 Smith Ranch Road Kaiser Permanente, San Rafael, CA 94903
Phone
(415) 444-3522
Fax
(415) 491-3028

Authorised official

Name
Virginia Pieters
Title
Provider Enrollment Analst
Phone
(415) 444-3522

Registered specialties

Psychiatric Hospital Unit Primary
Hospital Units Taxonomy 273R00000X Licence LCS14720 (CA)

Registry record

NPI
1083002315
Entity type
Organization
NPI issued
9 Jan 2015
Record last updated
9 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.