KAISER FOUNDATION HEALTH PLAN INC
15446 S Western Ave
Gardena, CA 90249
866-352-8559
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY33849 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1740337062 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0564573 | OTHER |