1578632428 NPI number — YEONHYANG KIM

Table of content: (NPI 1578632428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578632428 NPI number — YEONHYANG KIM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YEONHYANG KIM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
VALLEY PHARMACY
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578632428
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1082 E EL CAMINO REAL STE 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUNNYVALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94087
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-557-9100
Provider Business Mailing Address Fax Number:
408-557-9148

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1082 E EL CAMINO REAL STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUNNYVALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94087
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-557-9100
Provider Business Practice Location Address Fax Number:
408-557-9148
Provider Enumeration Date:
11/07/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KIM
Authorized Official First Name:
YEONHYANG
Authorized Official Middle Name:
Authorized Official Title or Position:
PHARMACIST OWNER
Authorized Official Telephone Number:
408-557-9100

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  PHY43889 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0503626 . This is a "OTHER ID NUMBER-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: PHA438890 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".