Kaiser Health Plan Mob 1 Phy

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Mob 1 Phy is an health care organization with primary practice located at 901 Nevin Ave , Richmond CA 94801-3143. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (510) 307-2262, or through Ong, Ron via phone (510) 307-2257.

Contact Information

Primary practice address
901 Nevin Ave Richmond CA 94801-3143
Phone: (510) 307-2262
Fax: (510) 307-2265
Website:
Map and Directions
Authorized official contact:
Name: Ong, Ron
Phone: (510) 307-2257

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHY20602 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1538217351
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Mob 1 Phy
Authorized official Ong, Ron
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 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 1538217351 NPPES
California MEDICAID PHA206020
California Other 0568800

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