Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
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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