Kaiser Health Plan Two North Phy #637

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Two North Phy #637 is an health care organization with primary practice located at 270 International Cir , San Jose CA 95119-1130. 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 (408) 972-7203, or through Brown, Kathryn Renouard via phone (510) 625-2363.

Contact Information

Primary practice address
270 International Cir San Jose CA 95119-1130
Fax: (408) 972-6608
Website:
Authorized official contact:
Name: Brown, Kathryn Renouard

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY43605 California

Profile Details

NPI number 1285781591
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Two North Phy #637
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Nov 27th, 2020 - about 4 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 1285781591 NPPES
California MEDICAID PHA436050
California Other 0500517

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