Kaiser Health Plan Mob Phy 751

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Mob Phy 751 is an health care organization with primary practice located at 7520 Arroyo Cir , Gilroy CA 95020-7303. 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) 848-4641, or through Kvancz, David via phone (562) 658-3510.

Contact Information

Primary practice address
7520 Arroyo Cir Gilroy CA 95020-7303
Phone: (408) 848-4641
Fax: (408) 848-4791
Website:
Map and Directions
Authorized official contact:
Name: Kvancz, David
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY32812 California

Profile Details

NPI number 1235286550
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Mob Phy 751
Authorized official Kvancz, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Apr 11th, 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 1235286550 NPPES
Other 0527866 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA328120 NCPDP PROVIDER IDENTIFICATION NUMBER

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