Provider First Line Business Practice Location Address:
KAISER PERMANENTE
Provider Second Line Business Practice Location Address:
1425 S. MAIN STREET
Provider Business Practice Location Address City Name:
WALNUT CREEK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94596-1559
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-295-4000
Provider Business Practice Location Address Fax Number:
925-295-6066
Provider Enumeration Date:
06/26/2009