Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FOUNDATION HOSPITAL PHY #253
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LEE POLCHAK (VP PHARMACY OPERATIONS & SVCS SCAL)
(562) 658-3510
Entity
Organization
Contact information
Practice address
13652 CANTARA ST FL 1, HOSPITAL PHARMACY, PANORAMA CITY, CA 91402-5423
(818) 375-2443
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP39643
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501090
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/05/2007
Last updated
05/31/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers