Provider Demographics
NPI:1487202727
Name:NALLS, YONI KHOANGHI (RPH)
Entity Type:Individual
Prefix:MS
First Name:YONI
Middle Name:KHOANGHI
Last Name:NALLS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:KHOANGHI
Other - Middle Name:
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:5296 DARRO RD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1933
Mailing Address - Country:US
Mailing Address - Phone:310-844-3777
Mailing Address - Fax:
Practice Address - Street 1:5296 DARRO RD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1933
Practice Address - Country:US
Practice Address - Phone:310-844-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51620183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist