# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAISER FDN HSP INP OUT PHY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114079191
- **Authorized official:** LANCE MIGAKI (IP PHARMACY SUPERVISOR)
- **Authorized official phone:** (408) 236-5113

## Contact information

- **Practice address:** 900 KIELY BLVD, SANTA CLARA, CA 95051-5329
- **Practice address phone:** (408) 236-5225
- **Practice address fax:** (408) 236-4234
- **Mailing address:** 900 KIELY BLVD, SANTA CLARA, CA 95051-5329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP12037 | CA | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 04/22/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0548997 | OTHER ID NUMBER | — |
| 05 | — | PHB120370 | — | CA |