Provider Demographics
NPI:1417505256
Name:CHAE, OHNBIT (PHARMD)
Entity Type:Individual
Prefix:
First Name:OHNBIT
Middle Name:
Last Name:CHAE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:OHNBIT
Other - Middle Name:
Other - Last Name:CHAE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LYNN
Mailing Address - Street 1:250 S OAK KNOLL AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2923
Mailing Address - Country:US
Mailing Address - Phone:949-769-0995
Mailing Address - Fax:
Practice Address - Street 1:250 S OAK KNOLL AVE APT 104
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2923
Practice Address - Country:US
Practice Address - Phone:949-769-0995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88322183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist