| NPI | 1487167730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG SOON CHANG President 714-576-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 55832) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-11-21 |