Park, Yung J

Park, Yung J is an sole proprietor health care provider with primary practice located at 5014 Huntington Dr South , Los Angeles CA 90032-1698. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is her primary health care specialty. Park, Yung J can be contacted via phone (323) 222-2362.

Contact Information

Primary practice address
5014 Huntington Dr South Los Angeles CA 90032-1698
Phone: (323) 222-2362
Fax: (323) 225-4171
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH40035 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY36871 California

Profile Details

NPI number 1982766168
LBN Legal business name Park, Yung J
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Nov 13th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982766168 NPPES
California MEDICAID PHA368710
California Other RPH40035

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