# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAISER FDN HSP INP PHY 14A
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760549026
- **Authorized official:** DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS)
- **Authorized official phone:** (562) 658-3510

## Contact information

- **Practice address:** 27400 HESPERIAN BLVD, HAYWARD, CA 94545-4235
- **Practice address phone:** (510) 784-4463
- **Practice address fax:** (510) 784-5219
- **Mailing address:** 12254 BELLFLOWER BLVD, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP34870 | CA | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 05/05/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2111840 | PK | — |