Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER HEALTH PLAN FABIOLA 4 PHY 117
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PERRY FLOWERS (VP ACUTE TRANSITIONAL CARE)
(562) 658-3510
Entity
Organization
Contact information
Practice address
3801 HOWE ST FL 4, OAKLAND, CA 94611
(510) 752-7644
(510) 752-7639
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY39672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2028859
PK
—
05
—
PHA396720
—
CA
Enumeration date
01/08/2007
Last updated
06/01/2018
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