Kaiser Foundation Hospitals

Specialty details in registry · Ontario, CA

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At a glance

2295 S Vineyard Ave, Ontario, CA 91761-7925

NPPES record updated Jun 13, 2023. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

2295 S Vineyard Ave Bldg B Fl-1 Rm A1013
Ontario, CA 91761-7925
Professional details: NPI, taxonomy & registry record
NPI1790832020
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
3336C0004X
Enumeration date
Jan 5, 2007
Record updated
Jun 13, 2023
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

333600000X

Specialty details in registry

3336C0003X

License reported: PHY46811 CA

Specialty details in registry

3336C0004X · Primary

Specialty details in registry

3336H0001X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2295 S Vineyard Ave
Bldg B Fl-1 Rm A1013
Ontario, CA 91761-7925
Phone
(866) 699-9744
Mailing address
12254 BELLFLOWER BLVD FL 2
PHARMACY OPERATIONS
DOWNEY, CA 902422804
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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