SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

SAN DIEGO, CA
NPI1225060742
Entity TypeOrganization
Authorized ContactRAMIN DAVIDOFF
Executive Medical Director
877-608-0044
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2006-07-07
Last Update Date2021-11-02
Business Address
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
Mailing Address
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
393 E WALNUT ST 3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA, CA 91188-0001
Phone number: 626-405-7914