Provider Demographics
NPI:1164587507
Name:CHAI, YIHWA JUNG (RPH)
Entity Type:Individual
Prefix:MS
First Name:YIHWA
Middle Name:JUNG
Last Name:CHAI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17829 CALLE LOS ARBOLES
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2540
Mailing Address - Country:US
Mailing Address - Phone:626-913-7427
Mailing Address - Fax:
Practice Address - Street 1:18575 GALE AVE STE 158
Practice Address - Street 2:
Practice Address - City:CITY OF INDUSTRY
Practice Address - State:CA
Practice Address - Zip Code:91748-1387
Practice Address - Country:US
Practice Address - Phone:626-965-5988
Practice Address - Fax:626-965-6588
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42432183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist