Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital, Riverside
Organization subpart
No
Provider details
NPI number
Authorized official
VITA M WILLETT (EXECUTIVE DIRECTOR)
(951) 353-4611
Entity
Organization
Contact information
Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-2000
(651) 353-4611
Mailing address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505-3043
(951) 353-2000
(651) 353-4611
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
250000327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050686B000000
DHS - SECTION 1011
CA
01
—
339040901
USDOL
CA
01
—
50686
BLUE CROSS
AL
05
—
HSP30686F
—
CA
05
—
HSP40686F
—
CA
01
—
ZZZA3300Z
BLUE SHIELD
CA
Enumeration date
01/24/2007
Last updated
04/14/2021
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