Provider Demographics
NPI:1134274897
Name:KAISER FOUNDATION HOSPITALS
Entity type:Organization
Organization Name:KAISER FOUNDATION HOSPITALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP/AREA MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:ZIBARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-857-3618
Mailing Address - Street 1:6041 CADILLAC AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1702
Mailing Address - Country:US
Mailing Address - Phone:323-857-2000
Mailing Address - Fax:323-857-2039
Practice Address - Street 1:6041 CADILLAC AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1702
Practice Address - Country:US
Practice Address - Phone:323-857-2000
Practice Address - Fax:323-857-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA930000081282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZA1982ZOtherBLUE SHIELD
CAZZT31414FMedicaid
CAZZT41414FMedicaid
CA50561OtherBLUE CROSS
CA050561B000000OtherDHS SECTION 1011
CA339040907OtherUSDOL
CAZZZA1982ZOtherBLUE SHIELD
CAZZT41414FMedicaid
CA050561Medicare Oscar/Certification