SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
NPI 1124269717
Clinical Medical Laboratory in Los Angeles, CA

Active since March 12, 2009
4580 ELECTRONICS PL, LOS ANGELES, CA 90039(818) 502-5141 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2021, May 27, 2021, Sep 20, 2019 (3 updates tracked since 2019).

About Southern California Permanente Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP (NPI 1124269717) is a healthcare organization registered as a clinical medical laboratory in Los Angeles, California and active in the NPI registry since March 2009. The organization lists Ramin Davidoff, Executive Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124269717
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Location Address4580 ELECTRONICS PLLos Angeles, CA 90039-1008
Mailing Address393 E Walnut St, 3rd Floor Phr Group & Provider EnrollmentPasadena, CA 91188-0001 · (626) 405-7914 · Fax (626) 405-4600
Organization SubpartNo
Authorized OfficialRamin DavidoffExecutive Medical Director · (877) 608-0044
Enumeration DateMarch 12, 2009
Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
NPI 1124269717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Also ListedEyewear SupplierTaxonomy 332H00000X
4580 ELECTRONICS PL, Los Angeles, CA 90039

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Genetic Counselor, MS
4580 ELECTRONICS PL
LOS ANGELES, CA 90039
Pathology (Anatomic Pathology & Clinical Pathology)
4580 ELECTRONICS PL
LOS ANGELES, CA 90039
Genetic Counselor, MS
4580 ELECTRONICS PL, SCPMG GENETIC TESTING
LOS ANGELES, CA 90039
Clinical Medical Laboratory
4580 ELECTRONICS PL
LOS ANGELES, CA 90039
Genetic Counselor, MS
4580 ELECTRONICS PL
LOS ANGELES, CA 90039
Genetic Counselor, MS
4580 ELECTRONICS PL
LOS ANGELES, CA 90039
Genetic Counselor, MS
4580 ELECTRONICS PL
LOS ANGELES, CA 90039
Specialist/Technologist, Pathology (Medical Technologist)
4580 ELECTRONICS PL
LOS ANGELES, CA 90039

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern California Permanente Medical Group's NPI number?

The NPI number for Southern California Permanente Medical Group is 1124269717. It was assigned to this organization in the NPPES registry on March 12, 2009.

Where is Southern California Permanente Medical Group located?

Southern California Permanente Medical Group is located at 4580 Electronics Pl, Los Angeles, CA 90039. The listed phone number is (818) 502-5141.

What is Southern California Permanente Medical Group's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Southern California Permanente Medical Group was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.