| NPI | 1356569404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANG JUNG LEE R.Ph. 213-384-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA phy45130) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA phy45130) | |
| 333600000X Pharmacy (Licence: CA phy45130) | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA phy45130) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-05-30 |