Healthcare Provider Details

I. General information

NPI: 1851169965
Provider Name (Legal Business Name): KAISER FOUNDATION HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44301 LORIMER AVE
LANCASTER CA
93534-3700
US

IV. Provider business mailing address

615 W AVENUE L
LANCASTER CA
93534-7211
US

V. Phone/Fax

Practice location:
  • Phone: 661-940-1112
  • Fax:
Mailing address:
  • Phone: 661-723-2488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUZY GHAZAROSSIAN
Title or Position: AREA ADMINISTRATOR/COO
Credential: DHED, MTASCP, SBB
Phone: 661-723-2488