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

Kroger

Organization Clinic/Center · NPI 1639562820

Kroger is a Clinic/Center in Encino, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

16325 Ventura Blvd
Encino, CA 91436-2101
Phone: (818) 728-4515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 50440 (CA)

Record details

NPI number1639562820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lord Sarino — Pharmacy Clinical Coordinator · (310) 884-4733
NPI enumeratedMarch 11, 2015
Last updated in NPPESMarch 11, 2015
Mailing address16325 Ventura Blvd, Encino, CA 91436-2101

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