Organization
KLA HEALTHCARE INC
Active
Other names
986 Pharmacy #8033
Organization subpart
No
Provider details
NPI number
Authorized official
JEONG MOOK CHOI PHARMD. (CFO)
(714) 534-4555
Entity
Organization
Contact information
Practice address
9828 GARDEN GROVE BLVD, SUITE 101, GARDEN GROVE, CA 92844-1639
(714) 534-4555
(714) 534-5127
Mailing address
9828 GARDEN GROVE BLVD, SUITE 101, GARDEN GROVE, CA 92844-1639
(714) 534-4555
(714) 534-5127
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55367
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001145
PK
—
05
—
PHA323540
—
CA
01
—
PHY60028
STATE BOARD OF PHARMACY
CA
Enumeration date
09/12/2006
Last updated
12/27/2024
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