Provider Demographics
NPI:1528389467
Name:YANG, EUN KYUNG (PHARMD)
Entity Type:Individual
Prefix:
First Name:EUN
Middle Name:KYUNG
Last Name:YANG
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 1:2045 ELKINS PL
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-1518
Mailing Address - Country:US
Mailing Address - Phone:626-274-0438
Mailing Address - Fax:626-836-6588
Practice Address - Street 1:600 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-3842
Practice Address - Country:US
Practice Address - Phone:213-896-0083
Practice Address - Fax:213-896-0154
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52274183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist