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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982766168 | NPPES |
| California | MEDICAID | PHA368710 | |
| California | Other | RPH40035 |
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