Kaiser Permanente
Clinic/Center, Primary Care in Vacaville, CA. Organization (NPI-2).
NPI number1669915799
StatusActive
Last updated in NPPESNov 21, 2016
Details
- NPI
- 1669915799
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Permanente
- Organization subpart
- No
- Enumeration date
- Nov 21, 2016
- Last updated
- Nov 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 713834 | CA | Yes |
Practice location
1 Quality DrVacaville, CA 95688-9494
Phone 707-624-4000
Mailing address
1 Quality DrVacaville, CA 95688-9494
Authorized official
Eugenia Mosley
Student
3146027722
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