KAISER FOUNDATION HEALTH PLAN INC
13652 Cantara St
Panorama City, CA 91402
866-362-5184
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY37449 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0501292 | OTHER | |
1033267984 | CA | MEDICAID |