Provider Demographics
NPI:1801949912
Name:KIM, SUN HUI (RPH)
Entity type:Individual
Prefix:MRS
First Name:SUN
Middle Name:HUI
Last Name:KIM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4881 LA PALMA AVE
Mailing Address - Street 2:
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-2019
Mailing Address - Country:US
Mailing Address - Phone:562-860-0586
Mailing Address - Fax:562-860-0767
Practice Address - Street 1:4881 LA PALMA AVE
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-2019
Practice Address - Country:US
Practice Address - Phone:562-860-0586
Practice Address - Fax:562-860-0767
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 44263183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist