Kaiser Health Plan Divisadero Phy 314
LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Divisadero Phy 314 is an health care organization with primary practice located at 1635 Divisadero St Fl 3 , San Francisco CA 94115-3036. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Inc can be contacted via phone (415) 833-4507, or through Kvancz, David via phone (562) 658-3510.
Contact Information
Primary practice address
1635 Divisadero St Fl 3
San Francisco CA 94115-3036
Phone: (415) 833-4507
Fax: (415) 833-3719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY35832 | California |
Profile Details
| NPI number | 1255488573 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Health Plan Divisadero Phy 314 |
| Authorized official | Kvancz, David |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Dec 21st, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255488573 | NPPES |
| California | MEDICAID | PHA358320 | |
| California | Other | 0508993 |
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