KAISER FOUNDATION HEALTH PLAN INC
2295 S Vineyard Ave Fl 1
Ontario, CA 91761
866-450-4944
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY47119 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 5615426 | OTHER | |
1245387570 | CA | MEDICAID |