Canaan Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CANAAN PHARMACY

Practice address

900 S Westmoreland Ave
Ste 101
Los Angeles, CA 90006-5645

Phone

(213) 387-7707

Fax

(213) 380-2607

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Kap Kim

Title

Owner

Phone

(213) 380-7707

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275699159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S WESTMORELAND AVE",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S WESTMORELAND AVE",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065645",
            "telephone_number": "213-387-7707",
            "fax_number": "213-380-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANAAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KAP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-380-7707"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY37296",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0530863",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA372960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Campuzano, MD
• Rashida Taher Campwala, M.D.
• Erin Camron, N.P.
• Can DO Kids Inc
• Canaan Medical Supply, Inc.
• Canaan Surgery Center, Inc.
• Whitney Canady
• Amy Guadalupe Canal, BA
• Cinzia Canale Fossa, M.A.
• Flor De Maria Canales Cucho

• 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 Sep 11, 2025; 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.