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Kaiser Foundation Health Plan Inc — NPI 1689059396, Baldwin Park, CA | NPI Central

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OrganizationActive

Kaiser Foundation Health Plan Inc

NPI 1689059396 · Compounding Pharmacy · Baldwin Park, CA

Provider details

NPI number: 1689059396
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Authorized official: Rhonda Polchak, Vp Pharmacy Operations & Svcs, Scal
License: PHY53441 (CA)

Practice location

1011 Baldwin Park Blvd

Fl-1, Rm #1122

Baldwin Park, CA 91706-5806

Phone: (626) 851-6143

More CA providers

Mailing address

12254 Bellflower Blvd Fl 2

Downey, CA 90242-2804

Registry dates

Enumerated: 2015-07-23
Last updated: 2023-06-21

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