Individual provider Active NPI

Inae Oh

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1578063194
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
73919 Issued in CA
Practice address
2717 W Olympic Blvd Ste 105
Los Angeles, CA 90006-2642
Phone
(213) 361-5929
Fax
(213) 263-2051
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 73919 CA Primary

Addresses

Primary practice location

2717 W Olympic Blvd Ste 105
Los Angeles, CA 90006-2642

Mailing address

2717 W Olympic Blvd Ste 105
Los Angeles, CA 90006-2642
Phone (213) 361-5929

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

LicenseStateTypeSpecialty
73919CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Samsung Care Pharmacy Inc Current Accepting new patients

Locations

2717 W Olympic Blvd
Ste 105
Los Angeles, CA 90006
Phone (213) 263-2039

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1578063194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 W OLYMPIC BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062642",
            "telephone_number": "213-361-5929",
            "fax_number": "213-263-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 W OLYMPIC BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062642",
            "telephone_number": "213-361-5929",
            "fax_number": "213-263-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "INAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73919",
            "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 Feb 20, 2018; 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.