Provider Demographics
NPI:1912285313
Name:KAISER PERMANENTE PANORAMA CITY
Entity Type:Organization
Organization Name:KAISER PERMANENTE PANORAMA CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARM.D.
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:WEI-TING
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:526-412-0062
Mailing Address - Street 1:13652 CANTARA ST
Mailing Address - Street 2:PHARMACY CLINICAL OPERATION OFFICE
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5423
Mailing Address - Country:US
Mailing Address - Phone:818-373-2937
Mailing Address - Fax:
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:PHARMACY CLINICAL OPERATION OFFICE
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-373-2937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital