Kaiser Health Plan Main Phy 551

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Main Phy 551 is an health care organization with primary practice located at 3400 Delta Fair Blvd , Antioch CA 94509-4004. 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 (925) 779-5173, or through Kvancz, David via phone (562) 658-3510.

Contact Information

Primary practice address
3400 Delta Fair Blvd Antioch CA 94509-4004
Phone: (925) 779-5173
Fax: (925) 779-5465
Website:
Map and Directions
Authorized official contact:
Name: Kvancz, David
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY32380 California

Profile Details

NPI number 1376691253
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Main Phy 551
Authorized official Kvancz, David
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Apr 11th, 2012 - about 12 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 1376691253 NPPES
Other 0528325 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA323800 NCPDP PROVIDER IDENTIFICATION NUMBER

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