Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Foundation Hospital Anaheim ESRD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK E COSTA (SVP AREA MANAGER)
(714) 279-4100
Entity
Organization
Contact information
Practice address
3460 E LA PALMA AVE, 3RD FLOOR, SUITE 3132, ANAHEIM, CA 92806-2020
(714) 664-2440
(714) 664-2455
Mailing address
3460 E LA PALMA AVE, 3RD FLOOR, SUITE 3132, ANAHEIM, CA 92806-2020
(714) 664-2440
(714) 664-2455
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
060000091
CA
Other
Enumeration date
01/23/2007
Last updated
04/13/2021
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