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 9961 Sierra Ave , Fontana CA 92335-6720. 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 (909) 427-3910, or through Davidoff, Ramin via phone (877) 608-0044.

Contact Information

Primary practice address
9961 Sierra Ave Fontana CA 92335-6720
Phone: (909) 427-3910
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davidoff, Ramin Doctor of Medicine (MD)
Phone: (877) 608-0044

Health care specialties

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

Profile Details

NPI number 1689606196
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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689606196 NPPES
California MEDICAID ZZZ41545Z

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