OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1447639745 · Compounding Pharmacy · Irvine, CA
Provider details
- NPI number
- 1447639745
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Parent organization
- Kaiser Foundation Health Plan Inc
- Authorized official
- David Kvancz, Vp Nat'L Phrmcy Prog & Svcs
- License
- PHY53420 (CA)
Practice location
6650 Alton Pkwy
Bldg 2 Fl 4 Rm 4262
Irvine, CA 92618-3734
Phone: (949) 932-2530
Mailing address
6650 Alton Pkwy
Irvine, CA 92618-3734
Registry dates
- Enumerated
- 2015-05-20
- Last updated
- 2015-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.