Jae Y Park is a Pharmacist in Los Angeles, California. Jae Y Park practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Jae Y Park is 1699750182. The last update date is 2007-07-08.
Jae Y Park's current location address is 3307 W Pico Bl, Los Angeles, California. You can contact this provider via phone number 3237341177 and fax number 3237341178. The mailing address for Jae Y Park is 3307 W Pico Bl, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jae Y Park |
|---|---|
| Address | 3307 W Pico Bl, Los Angeles, California |
| Phone Number | 3237341177 |
| Fax Number | 3237341178 |
| Sole Proprietor | X |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1699750182 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3307 W Pico Bl |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900194530 |
| Phone Number | 3237341177 |
| Fax Number | 3237341178 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | PHY44525 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PHA 445250 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jae Y Park by the Centers for Medicare & Medicaid Services?
The Jae Y Park has been issued the NPI (National Provider Identifier) 1699750182 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jae Y Park?
The Jae Y Park is situated at 3307 W Pico Bl, in the city of Los Angeles, state of CA, with the zip code 900194530.
What is Jae Y Park's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jae Y Park is Pharmacist, and the corresponding taxonomy classification code for this specialized field is 183500000X.
On what date was the 1699750182 assigned to Jae Y Park?
The Jae Y Park was issued its 1699750182 on 2005-12-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jae Y Park's information last updated?
The Jae Y Park's information was last updated on 2007-07-08.
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