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Kaiser Foundation Health Plan Inc — NPI 1093192577, San Rafael, CA | NPI Central

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Kaiser Foundation Health Plan Inc

NPI 1093192577 · Compounding Pharmacy · San Rafael, CA

Provider details

NPI number: 1093192577
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Parent organization: Kaiser Foundation Health Plan Inc
Authorized official: William Flowers, Vp Acute Transitional Care
License: PHY52494 (CA)

Practice location

99 Montecillo Rd

Bldg 2 Fl-5 Rm 5254

San Rafael, CA 94903

Phone: (415) 444-2319

More CA providers

Mailing address

99 Montecillo Rd

San Rafael, CA 94903-3308

Registry dates

Enumerated: 2015-05-04
Last updated: 2018-06-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.