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KAISER FOUNDATION HEALTH PLAN INC

Medical Equipment Supplier Yellow Pages

Fontana, California

Provider NPI: 1588712194

Organization Information:
Organization Name:  KAISER FOUNDATION HEALTH PLAN INC


Practice Location:
9985 SIERRA AVENUE 2ND FLR PEDS  FONTANA, CA 92335 US
Tel: 909-427-4783  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
CAPHY39807
X3336C0003XSuppliers
Pharmacy

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER-COMMERCIAL NUMBER056613501
PHA398070CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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