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NPI Code Detail

MEDICARE: OHNBIT CHAE PHARMD

MEDICARE: OHNBIT CHAE PHARMD
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
1183500000XPharmacist88322CA

General Provider Information

NPI Number : 1417505256
Entity Type Code : Individual
Provider Name (Legal Business Name) : OHNBIT CHAE PHARMD
Provider Business Mailing Address
First Line : 250 S OAK KNOLL AVE APT 104
Second Line :
City : PASADENA
State : CA
Zip : 91101-2923
Country : US
Telephone Number : 949-769-0995
Fax Number :
Provider Business Practice Location Address
First Line : 101 N BRAND BLVD STE 604
Second Line :
City : GLENDALE
State : CA
Zip : 91203-2615
Country : US
Telephone Number : 858-752-6016
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 03/27/2025

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Directions to “ OHNBIT CHAE PHARMD” Practice Location

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