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General NPI Number Information
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NPI Number | 1720264039
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Entity Type | Organization
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Legal Business Name | HEALTH NET OF CALIFORNIA, INC.
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 21281 BURBANK BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6607
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Country | US
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Telephone | 800-431-9007
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 FORSYTH BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63105-1813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP, ASSOCIATE GENERAL COUNSEL
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Name | KENNETH KOSHOREK
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Credential |
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Telephone | 313-720-5567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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