Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER POINT WEST PEDIATRIC PHY
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA YEE (OP PHARMACY MGR)
(916) 614-4577
Entity
Organization
Contact information
Practice address
1650 RESPONSE RD FL 2, SACRAMENTO, CA 95815-4807
(916) 614-4595
(916) 614-4580
Mailing address
1650 RESPONSE RD FL 2, SACRAMENTO, CA 95815-4807
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43319
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0576554
OTHER ID NUMBER
—
05
—
PHA433190
—
CA
Enumeration date
01/05/2007
Last updated
02/25/2008
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