Active NPI
Song Yee Han, PHARM D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1336551209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70808
- Practice address
- 3751 Wilshire Blvd
Los Angeles, CA 90010-2802 - Phone
- (213) 385-5030
- NPI assigned
- May 27, 2014
- Last updated
- Oct 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70808 | CA | Primary |
Addresses
Primary practice location
3751 Wilshire Blvd
Los Angeles, CA 90010-2802
Mailing address
1610 E Camelback Rd
Phoenix, AZ 85016-3902
Phone (602) 277-1727
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70808 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
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": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1336551209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 E CAMELBACK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850163902",
"telephone_number": "602-277-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900102802",
"telephone_number": "213-385-5030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "SONG",
"middle_name": "YEE",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.