NPI 1225060742
Southern California Permanente Medical Group
Practice location
- Address
- 4647 Zion Ave, San Diego, CA 92120-2507
- Phone
- (619) 528-5000
- Mailing address
- 393 E Walnut St 3rd Fl Phr Group & Provider Enrollment, Pasadena, CA 91188-0001
Authorised official
- Name
- Ramin Davidoff
- Title
- Executive Medical Director
- Phone
- (877) 608-0044
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1225060742
- Entity type
- Organization
- NPI issued
- 7 Jul 2006
- Record last updated
- 2 Nov 2021
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.