Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER HEALTH PLAN MOB 1 PHY
Organization subpart
No
Provider details
NPI number
Authorized official
RON ONG (PHARMACY SERVICE MGR)
(510) 307-2257
Entity
Organization
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2262
(510) 307-2265
Mailing address
901 NEVIN AVE, RICHMOND, CA 94801-3143
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
PHY20602
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0568800
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA206020
—
CA
Enumeration date
01/08/2007
Last updated
09/11/2025
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