Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital Vallejo
Organization subpart
No
Provider details
NPI number
Authorized official
NORAIR JEMJEMIAN (SENIOR VICE PRESIDENT/AREA MANAGER)
(707) 651-5414
Entity
Organization
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110000026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050073B000000
SECTION 1011 - DHS
CA
01
—
339040909
USDOL
CA
01
—
50073
BLUE CROSS OF CA
CA
05
—
HSP40073F
—
CA
05
—
ZZR00073F
—
CA
01
—
ZZZA4801Z
BLUE SHIELD OF CA
CA
Enumeration date
11/10/2006
Last updated
04/20/2021
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