KAISER FONTANA; NPI #1669889986

Contact Information

KAISER FONTANA

9961 SIERRA AVE
FONTANA, CA 92335-6720

Phone: 801-791-4514
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Special Hospital	284300000X	A0[7]	Hospital-Specialty Hospital (cardiac, orthopedic, surgical)
Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for KAISER FONTANA

NPI # 1669889986

LBN Legal business name KAISER FONTANA

Authorized official NOC PHAM - (DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/18/2014

Last updated 07/18/2014 - About 12 years ago

Identifiers

License #

806523

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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