Healthcare Provider Details

I. General information

NPI: 1487583654
Provider Name (Legal Business Name): KAISER FOUNDATION HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5893 COPLEY DR FL 1 RM 1104
SAN DIEGO CA
92111-7906
US

IV. Provider business mailing address

12254 BELLFLOWER BLVD FL 2 PHARMACY OPERATIONS DEPARTMENT
DOWNEY CA
90242-2804
US

V. Phone/Fax

Practice location:
  • Phone: 858-616-5206
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RHONDA LEE POLCHAK
Title or Position: VP PHARMACY OPERATIONS & SVCS, SCAL
Credential:
Phone: 562-658-3510