Healthcare Provider Details

I. General information

NPI: 1386584936
Provider Name (Legal Business Name): MIKYUNG CHAI PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 MARYLAND
IRVINE CA
92606-1738
US

IV. Provider business mailing address

11 MARYLAND
IRVINE CA
92606-1738
US

V. Phone/Fax

Practice location:
  • Phone: 949-290-0743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number47820
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: