Organization
SERRAND MEDICAL CENTER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANG KYU PARK PHARM D (OWNER)
(310) 472-6308
Entity
Organization
Contact information
Practice address
4220 WEST 3RD ST, SUITE #100, LOS ANGELES, CA 90020
(213) 381-3855
(213) 381-3856
Mailing address
4220 WEST 3RD ST, SUITE #100, LOS ANGELES, CA 90020
(213) 381-3855
(213) 381-3856
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY21856
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA218560
—
CA
01
—
PHY21856
BOARD OF PHARMACY
CA
Enumeration date
11/21/2006
Last updated
03/07/2023
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