| Organization Name: | KAISER FOUNDATION HEALTH PLAN |
| NPI Number: | 1508960634 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS J. RISSE (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 910 Wainee St Radiology Department Lahaina |
| State: | HI US |
| Postal Code: | 967611622 |
| Phone Number: | 8086626900 |
| Fax Number: | 8086626930 |
| NPI Enumeration Date: | 09/11/2006 |
| NPI Last Update Date: | 07/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |