Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER HEALTH PLAN PEDIATRIC PHY 513
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PERRY FLOWERS (VP ACUTE TRANSITIONAL CARE)
(562) 658-3671
Entity
Organization
Contact information
Practice address
1425 S MAIN ST FL 4, WALNUT CREEK, CA 94596
(925) 295-5515
(925) 295-5437
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY39675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996811
PK
—
05
—
PHB396750
—
CA
Enumeration date
01/08/2007
Last updated
06/01/2018
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