OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1780032623 · Compounding Pharmacy · Los Angeles, CA
Provider details
- NPI number
- 1780032623
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Rhonda Polchak, Vp Pharmacy Operations & Svcs Scal(562) 658-3510
- License
- PHY55589 (CA)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
6041 Cadillac Ave
Rm 4644
Los Angeles, CA 90034-1702
Phone: (323) 857-4123
Approximate (ZIP-level) locationGet directions
Mailing address
12254 Bellflower Blvd Fl 2
Downey, CA 90242-2804
Other names (DBA / former)
- Other name
- Kaiser Permanente Pharmacy #305c
- Other name
- Kaiser Permanente Pharmacy #305c
Registry dates
- Enumerated
- 2016-06-01
- 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.