Provider Demographics
NPI:1225567639
Name:OH, DANIEL YOUNG (RPH)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:YOUNG
Last Name:OH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14130 CULVER DR STE D
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-0321
Mailing Address - Country:US
Mailing Address - Phone:949-651-1111
Mailing Address - Fax:949-751-1200
Practice Address - Street 1:14130 CULVER DR
Practice Address - Street 2:SUITE D
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604
Practice Address - Country:US
Practice Address - Phone:949-651-1111
Practice Address - Fax:949-751-1200
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA75995183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist