1134151657 SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Health Maintenance Organization

Active

Basic Information

Organization Name
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Enumeration Date
July 7, 2006
Last Update
November 2, 2021
Authorized Official
DR. RAMIN DAVIDOFF MD
EXECUTIVE MEDICAL DIRECTOR
Phone: (877) 608-0044

Practice Location

Address
4760 W SUNSET BLVD
LOS ANGELES, CA 900276063
Phone
(323) 783-4011

Mailing Address

Address
393 E WALNUT ST
3RD FL PHR GROUP & PROVIDER ENROLLMENT
PASADENA, CA 911880001
Phone
(626) 405-7914
Fax
(626) 405-4600

Specialties & Taxonomies

Specialty Code Classification License State Primary
Health Maintenance Organization
 302R00000X Health Maintenance Organization N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
ZZZ48628Z 05 CA N/A

Digital Endpoints

SOAP Use: HIE

https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq

Carequality

Frequently Asked Questions

What is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's NPI number?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's NPI number is 1134151657.
Which doctor has NPI number 1134151657?
The doctor with NPI number 1134151657 is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP.
What is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's practice address?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's practice address is 4760 W SUNSET BLVD, LOS ANGELES, CA, 900276063.
Which doctor practices at 4760 W SUNSET BLVD, LOS ANGELES, CA, 900276063?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP practices at 4760 W SUNSET BLVD, LOS ANGELES, CA, 900276063.
What is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's mailing address?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's mailing address is 393 E WALNUT ST, 3RD FL PHR GROUP & PROVIDER ENROLLMENT, PASADENA, CA, 911880001.
What is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's phone number?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's phone number is (323) 783-4011.
Who is (323) 783-4011?
(323) 783-4011 is the phone number for SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP.
What is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's specialty?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's specialty is Health Maintenance Organization.
What type of doctor is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP is a Health Maintenance Organization.
Is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP a Health Maintenance Organization?
Yes, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP is a Health Maintenance Organization.
Is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP still practicing?
Yes, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP is currently practicing.
Is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP accepting new patients?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP may be accepting new patients. Please call their office at (323) 783-4011 to inquire about availability.
Is NPI 1134151657 still active?
Yes, NPI 1134151657 is currently active.
Where does SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP practice?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP practices in LOS ANGELES, CA.