Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital Hospice Oakland
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. FRATZKE (SENIOR VICE PRESIDENT)
(510) 752-2972
Entity
Organization
Contact information
Practice address
4501 BROADWAY, 1ST FLOOR, OAKLAND, CA 94611-4615
(510) 752-6390
(510) 752-7734
Mailing address
4501 BROADWAY, 1ST FLOOR, OAKLAND, CA 94611-4615
(510) 752-6390
(510) 752-7734
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
070000573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC01551F
—
CA
Enumeration date
11/21/2006
Last updated
04/23/2021
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