KAISER FOUNDATION HEALTH PLAN INC
4502 E Avenue S
Palmdale, CA 93552
866-362-5490
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY35903 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1558418871 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0501278 | OTHER |