Southern California Permanente Medical Group
Southern California Permanente Medical Group is a Clinical Medical Laboratory in N Hollywood, California. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
11668 Sherman WayN Hollywood, CA 91605-5831
Phone: (818) 503-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X |
|---|
Record details
| NPI number | 1891873303 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ramin Davidoff — Executive Medical Director · (877) 608-0044 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | May 27, 2021 |
| Certification date | May 27, 2021 |
| Mailing address | 393 E Walnut St, 3rd Fl Phr Group & Provider Enrollment, Pasadena, CA 91188-0001 |
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