Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER HOSPITAL DISCHARGE PHY #119
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
280 W MACARTHUR BLVD, OAKLAND, CA 94611-5642
(510) 752-6957
(510) 752-7441
Mailing address
12254 BELLFLOWER BLVD, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY42092
CA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999933
PK
—
05
—
PHA420920
—
CA
Enumeration date
01/08/2007
Last updated
04/23/2021
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