Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP INP DISCHARGE PHY 37A 374
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS)
(562) 658-3510
Entity
Organization
Contact information
Practice address
1150 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
(650) 299-2234
(650) 299-2627
Mailing address
12254 BELLFLOWER BLVD FL 2, ATTN: TERESA RIVERA, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP34279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999937
PK
—
05
—
PHB342790
—
CA
Enumeration date
01/08/2007
Last updated
04/22/2021
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