Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER HEALTH WALNUT PEDIATRIC PHY
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON CHOW (OP PHARMACY MGR)
(650) 299-4176
Entity
Organization
Contact information
Practice address
610 WALNUT ST, REDWOOD CITY, CA 94063-2049
(650) 299-2565
(650) 299-2618
Mailing address
610 WALNUT ST, REDWOOD CITY, CA 94063-2049
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
PHY20825
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0569395
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA208250
—
CA
Enumeration date
01/08/2007
Last updated
09/11/2025
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