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Organization

KAISER FOUNDATION HOSPITALS

Active
Other names
Kaiser Foundation Hospital Anaheim Home Health AG.
Organization subpart
No

Provider details

NPI number
Authorized official
MARK COSTA (EXECUTIVE DIRECTOR)
(714) 215-4100
Entity
Organization

Contact information

Practice address
17542 EAST 17TH ST, TUSTIN, CA 92780-1959
(714) 734-4500
(714) 734-4528
Mailing address
17542 EAST 17TH ST, TUSTIN, CA 92780-1959
(714) 734-4500
(714) 734-4528

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060000015
CA

Other

Enumeration date
01/23/2007
Last updated
05/05/2021
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