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
Phone: (818) 763-4334
Fax: (818) 763-4610
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386739761 | NPPES |
California | MEDICAID | PHA447830 |
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