Soon Young Yim

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46931 Issued in CA

Legal business name

SOON YOUNG YIM

Practice address

2681 W Olympic Blvd
Ste 102
Los Angeles, CA 90006-2810

Phone

(213) 381-7705

Fax

(213) 381-7706

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Soon Young Yim, RPH

Title

Owner

Phone

(213) 381-7705

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Eden Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jun Ho Kim, PHARM.D

  • Pharmacist
  • Los Angeles, CA
  • NPI 1609463660
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1154371268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 W OLYMPIC BLVD",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 W OLYMPIC BLVD",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062810",
            "telephone_number": "213-381-7705",
            "fax_number": "213-381-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOON YOUNG YIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "SOON YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-381-7705",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5614397",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA469310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Soon Hong Pharmaceutical, Inc
• Soon M. Cha MD, Inc
• Soon M. Cha, M.D., Inc.
• Soon R Chung
• Soon R. Chung
• Sapon Soon
• Sarun Soon, PA-C
• Rashna Soonavala
• Soonki Lee DDS PC
• Juliet H Soopikian, MFT

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.