Provider Demographics
NPI:1588854970
Name:KIM, FAITH YANG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:YANG
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 1:7100 AVENIDA ENCINAS
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-4656
Mailing Address - Country:US
Mailing Address - Phone:760-431-7380
Mailing Address - Fax:
Practice Address - Street 1:7100 AVENIDA ENCINAS
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-4656
Practice Address - Country:US
Practice Address - Phone:760-431-7380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA27016183500000X
AZS017043183500000X
IL289024183500000X
CT0010296183500000X
CA76353183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist