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 17284 Slover Ave Ste 205 , Fontana CA 92337-7584. 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 (626) 405-6942, or through Nguyen, Khang via phone (626) 405-6942.

Contact Information

Primary practice address
17284 Slover Ave Ste 205 Fontana CA 92337-7584
Phone: (626) 405-6942
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nguyen, Khang
Phone: (626) 405-6942

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1609446814
LBN Legal business name Southern California Permanente Medical Group
DBA Doing business as
Authorized official Nguyen, Khang
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2021
Last updated Jun 29th, 2021 - 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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