KAISER FOUNDATION HEALTH PLAN INC
1717 E Date Pl
San Bernardino, CA 92404
866-342-2823
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY19771 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0543036 | OTHER | |
1134276454 | CA | MEDICAID |