MEDICARE: MRS. SOONYOUNG YIM 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	RPH45353	CA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	45353	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	:	1497027486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SOONYOUNG YIM RPH

Provider Business Mailing Address
First Line	:	2681 W OLYMPIC BLVD
Second Line	:	#102
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2883
Country	:	US
Telephone Number	:	213-381-7705
Fax Number	:	213-381-7706

Provider Business Practice Location Address
First Line	:	2681 W OLYMPIC BLVD
Second Line	:	#102
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2883
Country	:	US
Telephone Number	:	213-381-7705
Fax Number	:	213-381-7706

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

Provider Enumeration Date	:	02/06/2012
Last Update Date	:	05/09/2025

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Directions to “ MRS. SOONYOUNG YIM RPH” Practice Location

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