Organization
SOON R CHUNG
Active
Other names
GARDENA MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SOON R CHUNG R.PH (OWNER)
(310) 515-6570
Entity
Organization
Contact information
Practice address
1045 W REDONDO BEACH BLVD, SUITE 300, GARDENA, CA 90247-4128
(310) 515-6570
(310) 515-6549
Mailing address
1045 W REDONDO BEACH BLVD, SUITE 300, GARDENA, CA 90247-4128
(310) 515-6570
(310) 515-6549
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0570158
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/19/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us