Kaiser Permanente

LBN: Kaiser Permanente
Kaiser Permanente is an health care organization with primary practice located at 12815 Heacock St , Moreno Valley CA 92553-3116. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Kaiser Permanente can be contacted via phone (051) 601-6174, or through Melton, Roger Jackson via phone (951) 601-6171.

Contact Information

Primary practice address
12815 Heacock St Moreno Valley CA 92553-3116
Phone: (051) 601-6174
Fax: (951) 601-6224
Website:
Map and Directions
Authorized official contact:
Name: Melton, Roger Jackson L.M.F.T.
Phone: (951) 601-6171

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X MFC17474 California

Profile Details

NPI number 1265639660
LBN Legal business name Kaiser Permanente
DBA Doing business as
Authorized official Melton, Roger Jackson L.M.F.T.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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