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

Southern California Permanente Medical Group

Organization Health Maintenance Organization · NPI 1336556059

Southern California Permanente Medical Group is a Health Maintenance Organization in Fullerton, California. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1893 W Malvern Ave
Fullerton, CA 92833-2403
Phone: (877) 608-0044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X

Record details

NPI number1336556059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramin Davidoff — Executive Medical Director · (877) 608-0044
Other names Target Clinic Medical Associates Of Southern California; Target Clinic Medical Associates Of Southern California
NPI enumeratedJuly 15, 2014
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address393 E Walnut St, Provider Enrollment, 3rd Floor, Pasadena, CA 91188-0001

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