Active NPI
Erica Han
- Pharmacist
- Alhambra, CA
National Provider Identifier
1578038741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79083
- Practice address
- 2207 W Commonwealth Ave
Alhambra, CA 91803-1302 - Phone
- (626) 282-6954
- Fax
- (626) 282-0550
- NPI assigned
- Oct 3, 2018
- 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 | 79083 | CA | Primary |
Addresses
Primary practice location
2207 W Commonwealth Ave
Alhambra, CA 91803-1302
Mailing address
4595 Wilshire Blvd Unit 101
Los Angeles, CA 90010-3829
Phone (213) 210-5981
Other names 1
- Erica Koh
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
| License | State | Type | Specialty |
|---|---|---|---|
| 79083 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679702400000",
"number": "1578038741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4595 WILSHIRE BLVD UNIT 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900103829",
"telephone_number": "213-210-5981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2207 W COMMONWEALTH AVE",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918031302",
"telephone_number": "626-282-6954",
"fax_number": "626-282-0550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAN",
"first_name": "ERICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-03",
"last_updated": "2023-03-25",
"certification_date": "2023-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "KOH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.