KAISER FOUNDATION HEALTH PLAN INC
789 South Cooley Drive
Colton, CA 92324
866-342-2805
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY30875 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0565830 | OTHER | |
1164570818 | CA | MEDICAID |