Healthcare Provider Details

I. General information

NPI: 1124949276
Provider Name (Legal Business Name): SUSAN H YUN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14850 ROSCOE BLVD
PANORAMA CITY CA
91402-4677
US

IV. Provider business mailing address

14850 ROSCOE BLVD
PANORAMA CITY CA
91402-4677
US

V. Phone/Fax

Practice location:
  • Phone: 818-904-3550
  • Fax: 818-304-8662
Mailing address:
  • Phone: 818-904-3550
  • Fax: 818-304-8662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number46499
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: