KAISER FOUNDATION HEALTH PLAN INC
Medical Equipment Supplier Yellow Pages
Fontana, California
Provider NPI: 1588712392
Organization Information:Organization Name: KAISER FOUNDATION HEALTH PLAN INC
Practice Location:
17197 MARYGOLD AVE FONTANA, CA 92335 US
Tel: 866-342-2747 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
17197 MARYGOLD AVE FONTANA, CA 92335 US
Tel: 866-342-2747 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | CA | PHY33094 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1588712392 | CA | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0565587 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin