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Kaiser Foundation Health Plan Inc

Kaiser Foundation Health Plan Inc is a health care provider in Los Angeles, CA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 5971 Venice Blvd, Los Angeles, CA 90034-1713, US
Practice Location Phone323-857-2936
Practice Location Fax213-857-3497
Legal Business NameKAISER FOUNDATION HEALTH PLAN INC
Other Organization NameKAISER PERMANENTE PHARMACY
Other Organization Name TypeDoing Business As Name
NPI ?1093862310
Entity TypeOrganization
Enumeration Date ? Jan 5, 2007
Last Update Date ? Apr 3, 2012
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Kaiser Foundation Health Plan Inc

SpecialtySpecializationLicenseLicense State
Pharmacy
PharmacyCommunity/Retail Pharmacy PHY22293California

legacy-id-icon Legacy Provider IDs of Kaiser Foundation Health Plan Inc

Provider IdIssuer StateIssuer TypeIssuer
0501317OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA222930CaliforniaMedicaid

official-icon Authorized Official of Kaiser Foundation Health Plan Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Kaiser Foundation Health Plan Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official David Kvancz
Authorized Official Title/PositionVP NAT'L PHRMCY PROG & SVCS
Authorized Official Phone Number562-658-3510