Healthcare Provider Details

I. General information

NPI: 1811861099
Provider Name (Legal Business Name): SD PHARMCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

461 S WESTERN AVE
LOS ANGELES CA
90020-4102
US

IV. Provider business mailing address

461 S WESTERN AVE
LOS ANGELES CA
90020-4102
US

V. Phone/Fax

Practice location:
  • Phone: 213-480-3322
  • Fax: 213-401-0002
Mailing address:
  • Phone: 213-480-3322
  • Fax: 213-401-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JEONG CHOI
Title or Position: CFO
Credential: RPH
Phone: 213-480-3322