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Contact Information

KAISER FOUNDATION HEALTH PLAN INC
28150 KELLER RD
1ST FL
MURRIETA, CA92563
 Phone: 855-431-5906
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN INC

NPI # 1093232282
LBN Legal business name KAISER FOUNDATION HEALTH PLAN INC
Authorized official RHONDA POLCHAK - (VP PHARMACY OPERATIONS & SVCS, SCAL)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2017
Last updated 03/04/2024 - About 2 years ago
Identifiers
CA License # PHY55779
CA Medicaid 1093232282
Other 2171667 PK
CA Other 5664342 NCPDP
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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