MEDICARE: KUM CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	51037	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51037	OTHER	CA	CA STATE BOARD OF PHARMACY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376894725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KUM CORPORATION

Provider Business Mailing Address
First Line	:	19409 SOLEDAD CANYON RD
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91351-2632
Country	:	US
Telephone Number	:	661-250-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	19409 SOLEDAD CANYON RD
Second Line	:
City	:	SANTA CLARITA
State	:	CA
Zip	:	91351-2632
Country	:	US
Telephone Number	:	661-250-3800
Fax Number	:	661-250-3806

Authorized Official
Title or Position	:	CEO
Name	:	MR. MAHESHKUMAR S KANERIA
Credential	:
Telephone Number	:	973-572-9954

Provider Enumeration Date	:	09/26/2012
Last Update Date	:	06/08/2022

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Directions to “KUM CORPORATION ” Practice Location

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