Roh, Chong Won

Roh, Chong Won is an sole proprietor health care provider with primary practice located at 10940 Victory Blvd , North Hollywood CA 91606-3725. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Roh, Chong Won can be contacted via phone (818) 763-4334.

Contact Information

Primary practice address
10940 Victory Blvd North Hollywood CA 91606-3725
Fax: (818) 763-4610
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHY44783 California

Profile Details

NPI number 1386739761
LBN Legal business name Roh, Chong Won
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated May 22nd, 2013 - about 12 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 1386739761 NPPES
California MEDICAID PHA447830

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