# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAISER FOUNDATION HOSPITAL PHARMACY 955
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386791614
- **Authorized official:** RHONDA LEE POLCHAK (VP PHARMACY OPERATIONS & SVCS, SCAL)
- **Authorized official phone:** (562) 658-3510

## Contact information

- **Practice address:** 765 W COLLEGE ST, LOS ANGELES, CA 90012-1181
- **Practice address phone:** (213) 580-7350
- **Mailing address:** 12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336C0003X | Community/Retail Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP35675 | CA | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 06/01/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0565727 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 1386791614 | — | CA |