KAISER FOUNDATION HEALTH PLAN INC
18081 Beach Blvd Rm 1110
Huntington Beach, CA 92648
714-841-7279
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY39348 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA393480 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0502294 | OTHER |