Individual
JUNG HEUI SHIN KOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15718 HAWTHORNE BLVD, LAWNDALE, CA 90260-2640
(310) 970-7440
(310) 970-7446
Mailing address
15718 HAWTHORNE BLVD, LAWNDALE, CA 90260-2640
(310) 970-7440
(310) 970-7446
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
60903
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60903
PHARMACIST
CA
Enumeration date
04/26/2017
Last updated
04/26/2017
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