NPI 1124223094

Kaiser Permanente

Organisation Health Maintenance Organization San Diego, CA

Practice location

Address: 3420 Kenyon St, San Diego, CA 92110-5001
Phone: (619) 221-6107

Authorised official

Name: Constance Mary Sullivan
Title: Advice Nurse
Phone: (619) 221-6107

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence F219608 (CA)

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Registry record

NPI: 1124223094
Entity type: Organization
NPI issued: 19 Jun 2007
Record last updated: 10 Jul 2008

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.