OrganizationActive
Kaiser Foundation Health Plan Inc
NPI 1871972372 · Compounding Pharmacy · Anaheim, CA
Provider details
- NPI number
- 1871972372
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Parent organization
- Kaiser Foundation Health Plan Inc
- Organization subpart
- Yes
- Authorized official
- David Kvancz, Vp Nat'L Phrmcy Prog & Svcs(562) 658-3510
- License
- PHY53353 (CA)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
3430 E La Palma Ave
Bldg 2 Fl-6 Rm 6791
Anaheim, CA 92806-2020
Phone: (714) 644-2530
Approximate (ZIP-level) locationGet directions
Mailing address
3430 E La Palma Ave
Anaheim, CA 92806-2020
Other names (DBA / former)
- Other name
- Kaiser Permanente Pharmacy #363c
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2015-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.