Individual provider Active NPI

Van Benjamin Hau

  • Pharmacist
  • West Hollywood, CA
National Provider Identifier
1013505411
Registry record updated Jan 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50137 Issued in CA
Practice address
8607 Santa Monica Blvd
West Hollywood, CA 90069-4109
Phone
(626) 524-2951
NPI assigned
Jan 2, 2021
Last updated
Jan 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50137 CA Primary

Addresses

Primary practice location

8607 Santa Monica Blvd
West Hollywood, CA 90069-4109

Mailing address

8607 Santa Monica Blvd
West Hollywood, CA 90069-4109
Phone (626) 524-2951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50137CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Pharmacy LLC CurrentSince Feb 7, 2021 Accepting new patients
Procare Pharmacy, LLC. PastSince Jan 10, 2021 Accepting new patients

Locations

8607 Santa Monica Blvd
West Hollywood, CA 90069
Phone (310) 659-9810

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609545600000",
    "number": "1013505411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "626-524-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "626-524-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAU",
        "first_name": "VAN BENJAMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-02",
        "last_updated": "2021-01-02",
        "certification_date": "2021-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "50137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.