# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAISER FOUNDATION HOSPITAL PHY \#253
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821145145
- **Authorized official:** RHONDA LEE POLCHAK (VP PHARMACY OPERATIONS & SVCS SCAL)
- **Authorized official phone:** (562) 658-3510

## Contact information

- **Practice address:** 13652 CANTARA ST FL 1, HOSPITAL PHARMACY, PANORAMA CITY, CA 91402-5423
- **Practice address phone:** (818) 375-2443
- **Mailing address:** 12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336C0004X | Compounding Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP39643 | CA | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 05/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0501090 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |