Provider Demographics
NPI:1134612468
Name:KAISER FOUNDATION HOSPITALS
Entity type:Organization
Organization Name:KAISER FOUNDATION HOSPITALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:AGHAJANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-405-6347
Mailing Address - Street 1:1721 TECHNOLOGY DR STE 245
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-1305
Mailing Address - Country:US
Mailing Address - Phone:408-436-4300
Mailing Address - Fax:408-436-4310
Practice Address - Street 1:1721 TECHNOLOGY DR STE 245
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95110-1305
Practice Address - Country:US
Practice Address - Phone:408-436-4300
Practice Address - Fax:408-436-4310
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAISER FOUNDATION HOSPITALS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-12
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA070000661261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment