# KAISER PERMANENTE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083155022
- **Authorized official:** MR. FRANK AYALA JR. RPH (PHARMACIST)
- **Authorized official phone:** (909) 809-3110

## Contact information

- **Practice address:** 1301 CALIFORNIA ST, REDLANDS, CA 92374-2910
- **Practice address phone:** (909) 809-3110
- **Mailing address:** 1301 CALIFORNIA ST, REDLANDS, CA 92374-2910
- **Mailing address phone:** (909) 809-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | RPH 39279 | CA | Yes |

## Other

- **Enumeration date:** 03/09/2017
- **Last updated:** 03/09/2017