Organization
CANAAN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAP KIM (OWNER)
(213) 380-7707
Entity
Organization
Contact information
Practice address
900 S WESTMORELAND AVE, STE 101, LOS ANGELES, CA 90006-5645
(213) 387-7707
(213) 380-2607
Mailing address
900 S WESTMORELAND AVE, STE 101, LOS ANGELES, CA 90006-5645
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY37296
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0530863
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA372960
—
CA
Enumeration date
12/28/2006
Last updated
09/11/2025
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