MEDICARE: MISS MAY YAM 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	RPH45023	CA

General Provider Information

NPI Number	:	1841506912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MAY YAM PHARM.D.

Provider Business Mailing Address
First Line	:	4633 SANTA MONICA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1803
Country	:	US
Telephone Number	:	323-666-6125
Fax Number	:	323-666-3120

Provider Business Practice Location Address
First Line	:	4633 SANTA MONICA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1803
Country	:	US
Telephone Number	:	323-666-6125
Fax Number	:	323-666-3120

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

Provider Enumeration Date	:	08/26/2010
Last Update Date	:	08/26/2010

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Directions to “ MISS MAY YAM PHARM.D.” Practice Location

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