SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

RIVERSIDE, CA
NPI1316979834
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
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 866-984-7483
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