# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaiser Foundation Hospital Anaheim Home Health AG.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588719579
- **Authorized official:** MARK COSTA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (714) 215-4100

## Contact information

- **Practice address:** 17542 EAST 17TH ST, TUSTIN, CA 92780-1959
- **Practice address phone:** (714) 734-4500
- **Practice address fax:** (714) 734-4528
- **Mailing address:** 17542 EAST 17TH ST, TUSTIN, CA 92780-1959
- **Mailing address phone:** (714) 734-4500
- **Mailing address fax:** (714) 734-4528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 060000015 | CA | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 05/05/2021