Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital - Orange County - Anaheim Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E COSTA (SVP AREA MANAGER)
(714) 644-4100
Entity
Organization
Contact information
Practice address
3440 E. LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-2000
(714) 644-4114
Mailing address
3440 E. LA PALMA AVE, ANAHEIM, CA 92806-2020
(714) 644-2000
(714) 644-4114
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
060000091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050609B000000
DHS SECTION 1011
CA
01
—
339040902
USDOL
CA
01
—
50609
BLUE CROSS
CA
05
—
ZZT30609G
—
CA
05
—
ZZT40609G
—
CA
01
—
ZZZV3011Z
BLUE SHIELD
CA
Enumeration date
01/24/2007
Last updated
01/12/2022
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