Individual
CHANGMO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 OAK ST UNIT 615, TORRANCE, CA 90501-3371
(213) 435-5592
Mailing address
1800 OAK ST UNIT 615, TORRANCE, CA 90501-3371
(213) 435-5592
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH80785
CA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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