# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAISER FDN HSP INP DISCHARGE PHY 37A 374
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114075934
- **Authorized official:** DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS)
- **Authorized official phone:** (562) 658-3510

## Contact information

- **Practice address:** 1150 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
- **Practice address phone:** (650) 299-2234
- **Practice address fax:** (650) 299-2627
- **Mailing address:** 12254 BELLFLOWER BLVD FL 2, ATTN: TERESA RIVERA, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP34279 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 04/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1999937 | PK | — |
| 05 | — | PHB342790 | — | CA |