Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern California Permanente Medical Group

Organization Registered Dietitian · NPI 1063279651

Southern California Permanente Medical Group is a Registered Dietitian in Riverside, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3951 Van Buren Blvd
Riverside, CA 92503-3620
Phone: (866) 862-4295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1063279651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madonna Holbrook-Lowe — Department Administrator · (951) 233-0023
NPI enumeratedMarch 1, 2024
Last updated in NPPESMarch 1, 2024
Certification dateFebruary 29, 2024
Mailing address3951 Van Buren Blvd, Riverside, CA 92503-3620

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