Soon Sea Woo
Individual provider Active NPI Pharmacist · La, CA
NPI 1639428162 · NPPES record last updated Aug 30, 2012
Key facts
- NPI
- 1639428162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH 44270 (CA)
- Practice address
- 2727 W Olympic Blvd #103
La, CA 90006 - Phone
- (213) 738-6970
- NPI assigned
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 44270 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P&a RX Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 44270 | CA | Yes |
Addresses
Primary practice location
2727 W Olympic Blvd #103
La, CA 90006
Mailing address
1532 Third Ave
La, CA 90019
Phone (323) 733-6273
Other providers in La, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.