Provider Demographics
NPI:1326147042
Name:RHO, JAY PIL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:PIL
Last Name:RHO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6041 CADILLAC AVE
Mailing Address - Street 2:KAISER PERMANENTE WEST LOS ANGELES MEDICAL CENTER
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1702
Mailing Address - Country:US
Mailing Address - Phone:323-857-2157
Mailing Address - Fax:323-857-2855
Practice Address - Street 1:6041 CADILLAC AVE
Practice Address - Street 2:KAISER PERMANENTE WEST LOS ANGELES MEDICAL CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1702
Practice Address - Country:US
Practice Address - Phone:323-857-2157
Practice Address - Fax:323-857-2855
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH37348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist