NPI 1922193556

Kaiser

Organisation Health Maintenance Organization Cupertino, CA

Practice location

Address: 19000 Homestead, Cupertino, CA 95014
Phone: (408) 366-4151
Mailing address: PO Box 458, Pollock Pines, CA 95726

Authorised official

Name: Theresa Lynn Gilliland
Title: Nurse Practitioner
Phone: (408) 366-4151

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence NPF 11076 (CA)

Other Health Maintenance Organization providers in California →

Registry record

NPI: 1922193556
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 22 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.