Kla Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY55367 Issued in CA

Legal business name

KLA HEALTHCARE INC

Doing business as

986 Pharmacy #8033

Practice address

9828 Garden Grove Blvd
Suite 101
Garden Grove, CA 92844-1639

Phone

(714) 534-4555

Fax

(714) 534-5127

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Jeong Mook Choi, PHARMD.

Title

Cfo

Phone

(714) 534-4555

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• 986 Pharmacy #8033 Doing business as

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Tax ID family

986 Pharmacy 80332 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kla Healthcare Inc

  • Long Term Care Pharmacy
  • Garden Grove, CA
  • NPI 1255205431
  NPD tax ID

Locations

Practitioners 1

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

• Chaehoon Song

  • Pharmacist
  • Blythe, CA
  • NPI 1619246105
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1396849345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD",
            "address_2": "SUITE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441639",
            "telephone_number": "714-534-4555",
            "fax_number": "714-534-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD",
            "address_2": "SUITE 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441639",
            "telephone_number": "714-534-4555",
            "fax_number": "714-534-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "MOOK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-534-4555",
        "authorized_official_credential": "PHARMD."
    },
    "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": "PHY55367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2001145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA323540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PHY60028",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8033",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Kinnear
• Nai Kinsbursky, OTR/L
• Savannah L Kirk
• Kittya Paigne M.D. Corp
• Kla Healthcare Inc
• KLP LLC
• KMS & Herbs Inc
• Ashlyn Knapp
• Alyssa Kniess
• Samuel Russell Knott

• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, 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 Dec 27, 2024; 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.