Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaiser Foundation Health Plan Inc

Organization Pharmacy · NPI 1720135049

Kaiser Foundation Health Plan Inc is a Pharmacy in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12001 W Washington Blvd
Los Angeles, CA 90066-5801
Phone: (866) 391-2677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY39172 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1720135049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Polchak — Vp Pharmacy Operations & Svcs Scal · (562) 658-3510
Other names Kaiser Permanente Pharmacy
NPI enumeratedJanuary 5, 2007
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address12254 Bellflower Blvd Fl 2, Pharmacy Operations, Downey, CA 90242-2804

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