Provider Demographics
NPI:1467966705
Name:KIM, KAREN HYUN (PHARMD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:HYUN
Last Name:KIM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:356 S WESTERN AVE
Mailing Address - Street 2:STE 104-105
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3814
Mailing Address - Country:US
Mailing Address - Phone:323-836-3686
Mailing Address - Fax:213-908-6310
Practice Address - Street 1:356 S WESTERN AVE
Practice Address - Street 2:STE 104-105
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-3814
Practice Address - Country:US
Practice Address - Phone:323-836-3686
Practice Address - Fax:213-908-6310
Is Sole Proprietor?:No
Enumeration Date:2017-11-23
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA72598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist