KAISER FOUNDATION HEALTH PLAN INC
3250 Fordham St
San Diego, CA 92110
619-221-6275
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY32339 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0500442 | OTHER | |
PHA323390 | CA | MEDICAID |