Southern California Permanente Medical Group in Fontana - Health Maintenance Organization
Southern California Permanente Medical Group - NPI 1689606196
Southern California Permanente Medical Group is a Health Maintenance Organization in Fontana, California. Southern California Permanente Medical Group practices all healthcare services and medical treatments related to Health Maintenance Organization. The NPI Number for Southern California Permanente Medical Group is 1689606196. The last update date is 2021-11-02.
Southern California Permanente Medical Group's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094273910. The mailing address for Southern California Permanente Medical Group is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Southern California Permanente Medical Group |
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Address | 9961 Sierra Ave, Fontana, California |
Phone Number | 9094273910 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
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Authorized Official Name | Davidoff Ramin |
Credentials | MD |
Telephone Number | 8776080044 |
NPI Number Detail
NPI Number | 1689606196 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2021-11-02 |
Provider Mailing Address Detail
Address | 9961 Sierra Ave |
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City | Fontana |
State | California (CA) |
Post Code | 923356720 |
Phone Number | 9094273910 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Health Maintenance Organization |
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Taxonomy | 302R00000X |
Definition: (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
ZZZ41545Z | CA | -- |
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What is the unique identification code assigned to Southern California Permanente Medical Group by the Centers for Medicare & Medicaid Services?
The Southern California Permanente Medical Group has been issued the NPI (National Provider Identifier) 1689606196. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Southern California Permanente Medical Group is physically located?
The Southern California Permanente Medical Group is physically situated at the following address: 9961 Sierra Ave, Fontana, CA, 923356720.
What is Southern California Permanente Medical Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southern California Permanente Medical Group's specialized field of practice is Health Maintenance Organization, and the corresponding taxonomy code that categorizes this area of specialization is 302R00000X.
On what date did the Southern California Permanente Medical Group receive its 1689606196 assignment from the Centers for Medicare & Medicaid Services?
The Southern California Permanente Medical Group was assigned its 1689606196 by the Centers for Medicare & Medicaid Services on 2006-07-07.
As of what date was the information regarding Southern California Permanente Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southern California Permanente Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-02.