The Permanente Medical Group

NPI 1023188851 - Optometrist - 152W00000X

NPI Details
NPI 1023188851
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TIM TIM
Position PHYSICIAN IN CHIEF
Phone (510) 307-1500
Fax
Practice Location
901 NEVIN AVE
RICHMOND CA, 94801-3143, US
Phone (510) 307-1500
Fax
Business Location
901 NEVIN AVE
RICHMOND CA, 94801-3143, US
Phone
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 5436
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According to our database, The Permanente Medical Group NPI is 1023188851, taxonomy code is 152W00000X and license number is 5436, license state is located at California. The Permanente Medical Group physically located at 901 Nevin Ave, Richmond CA, 94801-3143. NPI Number 1033115704 has the healthcare provider type.

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1023188851 NPI number is provided on an as is basis without warranty of any kind. 1023188851 is maintained by the National Plan & Provider Enumeration System. The contents of The Permanente Medical Group are for informational purposes only.