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Kaiser Foundation Health Plan Inc — NPI 1366679557, Fontana, CA | NPI Central

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NPI 1366679557

OrganizationActive

Kaiser Foundation Health Plan Inc

NPI 1366679557 · Compounding Pharmacy · Fontana, CA

Provider details

NPI number: 1366679557
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Rhonda Polchak, Vp Pharmacy Operations & Svcs, Scal(562) 658-3510

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004XLicense PHY48689 (CA)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

9985 Sierra Ave Fl Mob24

Fontana, CA 92335-6720

Phone: (909) 427-3444

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

12254 Bellflower Blvd Fl 2

Downey, CA 90242-2804

Other names (DBA / former)

Doing business as: Kaiser Oncology Phmcy #170
Doing business as: Kaiser Oncology Phmcy #170

Registry dates

Enumerated: 2009-06-16
Last updated: 2023-07-05
Certified: 2023-07-05

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