Kaiser Health Plan Cypress Mob Phy 371

LBN: Kaiser Foundation Health Plan Inc
Kaiser Health Plan Cypress Mob Phy 371 is an health care organization with primary practice located at 1190 Veterans Blvd Fl 1 Rm 1132, Redwood City CA 94063-2037. 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 (650) 299-3015, or through Brown, Kathryn Renouard via phone (510) 219-3954.

Contact Information

Primary practice address
1190 Veterans Blvd Fl 1 Rm 1132 Redwood City CA 94063-2037
Fax: (650) 299-2627
Website:
Authorized official contact:
Name: Brown, Kathryn Renouard

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY30676 California

Profile Details

NPI number 1750438073
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Health Plan Cypress Mob Phy 371
Authorized official Brown, Kathryn Renouard
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Mar 29th, 2024 - about 9 months 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 1750438073 NPPES
Other 0560563 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA306760 NCPDP PROVIDER IDENTIFICATION NUMBER

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