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

Southern California Permanente Medical Group

Organization Clinical Medical Laboratory · NPI 1346328853

Southern California Permanente Medical Group is a Clinical Medical Laboratory in Los Angeles, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

4580 Electronics Pl
Los Angeles, CA 90039-1008
Phone: (818) 502-5940
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1346328853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramin Davidoff — Executive Medical Director · (877) 608-0044
NPI enumeratedNovember 1, 2006
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address393 E Walnut St, 3rd Fl Phr Group & Provider Enrollment, Pasadena, CA 91188-0001

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