Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital - Fontana
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA R GARCIA RN, MS (SVP AND AREA MANAGER)
(909) 427-7701
Entity
Organization
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
(909) 427-7366
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-5000
(909) 427-7366
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
240000159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050140B000000
DHS - SECTION 1011
CA
01
—
195323200
USDOL
CA
01
—
50140
BLUE CROSS
CA
05
—
ZZT30140F
—
CA
05
—
ZZT40140F
—
CA
01
—
ZZZA3603Z
BLUE SHIELD
CA
Enumeration date
01/24/2007
Last updated
06/21/2022
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