KAISER FOUNDATION HEALTH PLAN INC
4904 W Sunset Blvd Bldg M
Los Angeles, CA 90027
866-352-8690
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY19763 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0536447 | OTHER | |
1316094634 | CA | MEDICAID |