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NPI Code Detail

MEDICARE: KAISER

MEDICARE: KAISER
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
1284300000XSpecial HospitalPHY46253CA

General Provider Information

NPI Number : 1790223212
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAISER
Provider Business Mailing Address
First Line : 4405 VANDEVER AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-3315
Country : US
Telephone Number : 619-516-6223
Fax Number : 619-516-7711
Provider Business Practice Location Address
First Line : 4405 VANDEVER AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92120-3315
Country : US
Telephone Number : 619-516-6223
Fax Number : 619-516-7711
Authorized Official
Title or Position : PHARMACIST
Name : QUYNHHUONG MONICA DAO
Credential :
Telephone Number : 619-516-6223
Provider Enumeration Date : 02/03/2017
Last Update Date : 02/03/2017

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Directions to “KAISER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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