Kaiser Health Plan Manteca Phy No 491
LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Manteca Phy No 491 is an health care organization with primary practice located at 1721 W Yosemite Ave , Manteca CA 95337-5130. 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 (209) 824-5078, or through Brown, Kathryn Renouard via phone (510) 625-2363.
Contact Information
Primary practice address
1721 W Yosemite Ave
Manteca CA 95337-5130
Phone: (209) 824-5078
Fax: (209) 824-5075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY43518 | California |
Profile Details
| NPI number | 1649327958 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Inc |
| DBA Doing business as | Kaiser Health Plan Manteca Phy No 491 |
| Authorized official | Brown, Kathryn Renouard |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Oct 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649327958 | NPPES |
| California | MEDICAID | PHA435180 | |
| California | Other | 0500353 |
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