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General NPI Number Information
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NPI Number | 1720229602
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Entity Type | Organization
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Legal Business Name | KAISER FOUNDATION HOSPITALS
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1830 CALIFORNIA AVE
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City | CORONA
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State | CA
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Zip | 92881-3378
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Country | US
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Telephone | 951-270-1250
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 CALIFORNIA AVE
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City | CORONA
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State | CA
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Zip | 92881-3378
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Country | US
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Telephone | 951-270-1250
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Fax |
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Authorized Official
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Title or Position | VP, CARE AT HOME
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Name | ANGEL LUIS VARGAS
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Credential |
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Telephone | 626-773-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 250000333
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License Number State | CA
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