MEDICARE: KYEUNG SUK YEH RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH44173	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528151222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYEUNG SUK YEH RPH

Provider Business Mailing Address
First Line	:	966 S WESTERN AVE #103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-1014
Country	:	US
Telephone Number	:	323-733-7788
Fax Number	:	323-733-4818

Provider Business Practice Location Address
First Line	:	966 S WESTERN AVE #103
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-1014
Country	:	US
Telephone Number	:	323-733-7788
Fax Number	:	323-733-4818

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	01/16/2017

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Directions to “ KYEUNG SUK YEH RPH” Practice Location

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