MEDICARE: JUN HO KIM PHARM.D

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	81169	CA

General Provider Information

NPI Number	:	1609463660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUN HO KIM PHARM.D

Provider Business Mailing Address
First Line	:	12520 AMESBURY CIR
Second Line	:
City	:	WHITTIER
State	:	CA
Zip	:	90602-1178
Country	:	US
Telephone Number	:	805-558-5524
Fax Number	:

Provider Business Practice Location Address
First Line	:	2681 W OLYMPIC BLVD STE 102
Second Line	:
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	:	12/24/2020
Last Update Date	:	09/16/2023

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Directions to “ JUN HO KIM PHARM.D” Practice Location

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