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KAISER FOUNDATION HEALTH PLAN INC NPI 1619633104


NPI Information

NPI: 1619633104
Provider Name: KAISER FOUNDATION HEALTH PLAN INC
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

CLIA Number: 05D0863948

Address:
4950 SUNSET BLVD FL 6
RM 6100A
LOS ANGELES, CA
ZIP 90027
Phone: (323) 783-4004
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KAISER FOUNDATION HEALTH PLAN INC is a compounding pharmacy pharmacy in Los Angeles, CA. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. KAISER FOUNDATION HEALTH PLAN INC NPI is 1619633104. The provider is registered as an organization entity type.

The provider's business location address is:

4950 SUNSET BLVD FL 6
RM 6100A
LOS ANGELES, CA
ZIP 90027
Phone: (323) 783-4004

The provider's authorized official is Alan Kiyohara .
The authorized official title is Vp Pharmacy Operations & Svcs, Scal and has the following contact phone number (562) 658-3510.

The CLIA number assigned to this NPI record is 05D0863948 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/9/2021 and was last updated on 11/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.