Southern California Permanente Medical Group
Southern California Permanente Medical Group is a Health Maintenance Organization in Fontana, California. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
9961 Sierra AveFontana, CA 92335-6720
Phone: (909) 427-3910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Maintenance Organization (primary) | Taxonomy 302R00000X |
|---|
Record details
| NPI number | 1689606196 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ramin Davidoff — Executive Medical Director · (877) 608-0044 |
| NPI enumerated | July 7, 2006 |
| Last updated in NPPES | November 2, 2021 |
| Certification date | November 2, 2021 |
| Mailing address | 393 E Walnut St, 3rd Fl Phr Group & Provider Enrollment, Pasadena, CA 91188-0001 |
Other providers in Fontana
-
Southern California Permanente Medical Group
15272 Summit Ave, Fontana, CA 92336-0231 · (877) 608-0044
-
Southern California Permanente Medical Group
17284 Slover Ave Ste 205, Fontana, CA 92337-7584 · (626) 405-6942