Kaiser Permanente Pharmacy #452

LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy #452 is an health care organization with primary practice located at 200 E Hacienda Ave , Campbell CA 95008-6617. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (408) 871-5860, or through Kvancz, David via phone (562) 658-3510.

Contact Information

Primary practice address
200 E Hacienda Ave Campbell CA 95008-6617
Phone: (408) 871-5860
Fax: (408) 871-5865
Website:
Map and Directions
Authorized official contact:
Name: Kvancz, David
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46383 California

Profile Details

NPI number 1073661815
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Permanente Pharmacy #452
Authorized official Kvancz, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 23rd, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073661815 NPPES
California MEDICAID PHA463830
California Other 5600615

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