OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1740798248 · Compounding Pharmacy · Santa Clarita, CA
Provider details
- NPI number
- 1740798248
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Authorized official
- Rhonda Polchak, Vp Pharmacy Operations & Svcs, Scal
- License
- PHY56017 (CA)
Practice location
26877 Tourney Rd
Mob 2 Fl 2 Rm #226
Santa Clarita, CA 91355-1846
Phone: (661) 290-7200
Mailing address
12254 Bellflower Blvd Fl 2
Downey, CA 90242-2804
Registry dates
- Enumerated
- 2018-01-18
- Last updated
- 2023-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.