1770515280 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
October 1, 2021
Authorized Official
RAMIN DAVIDOFF M.D.
EXECUTIVE MEDICAL DIRECTOR
Phone: (877) 608-0044

Practice Location

Address
1011 BALDWIN PARK BLVD
BALDWIN PARK, CA 917065806
Phone
(626) 851-1011

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
GR0018333 05 CA N/A

Digital Endpoints

SOAP Use: HIE

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

Carequality

Affiliation: Southern California Permanente Medical Group

Frequently Asked Questions

What is SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's NPI number?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP's NPI number is 1770515280.
Which doctor has NPI number 1770515280?
The doctor with NPI number 1770515280 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 1011 BALDWIN PARK BLVD, BALDWIN PARK, CA, 917065806.
Which doctor practices at 1011 BALDWIN PARK BLVD, BALDWIN PARK, CA, 917065806?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP practices at 1011 BALDWIN PARK BLVD, BALDWIN PARK, CA, 917065806.
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 (626) 851-1011.
Who is (626) 851-1011?
(626) 851-1011 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 (626) 851-1011 to inquire about availability.
Is NPI 1770515280 still active?
Yes, NPI 1770515280 is currently active.
Where does SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP practice?
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP practices in BALDWIN PARK, CA.