Kaiser Foundation Health Plan INC
NPI #1962568238 in Fontana, California
Provider Information
- NPI Number
- 1962568238
- Entity Type
- Organization
- Organization Name
- Kaiser Foundation Health Plan INC
- Primary Specialty
- Pharmacy - Compounding Pharmacy
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Jun 13, 2023
Practice Location
- Address
- 9961 SIERRA AVE
- Address 2
- MOB 3 BASEMENT RM#1-B800
- City
- Fontana
- State
- California
- ZIP Code
- 92335-6720
- Phone
- (909) 427-4941
Authorized Official
- Name
- RHONDA LEE POLCHAK
- Title
- VP PHARMACY OPERATIONS & SVCS, SCAL
- Phone
- (562) 658-3510
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
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