Southern California Permanente Medical Group
LBN: Southern California Permanente Medical Group
Southern California Permanente Medical Group is an health care organization with primary practice located at 4760 W Sunset Blvd , Los Angeles CA 90027-6063. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty.
Southern California Permanente Medical Group can be contacted via phone (323) 783-4011, or through Davidoff, Ramin via phone (877) 608-0044.
Contact Information
Primary practice address
4760 W Sunset Blvd
Los Angeles CA 90027-6063
Phone: (323) 783-4011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Health Maintenance Organization | 302R00000X |
Profile Details
| NPI number | 1134151657 |
|---|---|
| LBN Legal business name | Southern California Permanente Medical Group |
| DBA Doing business as | |
| Authorized official | Davidoff, Ramin Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 2nd, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134151657 | NPPES |
| California | MEDICAID | ZZZ48628Z |
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