Organization Active NPI

Chang Ho Yoo

  • Pharmacy
  • Long Beach, CA
National Provider Identifier
1730210964
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY44527 Issued in CA
Legal business name
CHANG HO YOO
Doing business as
PCH Medical Pharmacy
Practice address
306 E Pacific Coast Hwy
Suite #101
Long Beach, CA 90806-6259
Phone
(562) 591-7655
Fax
(562) 591-8179
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Mr. Chang Ho Yoo, RPH
Title
Pharmacist
Phone
(562) 591-7655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY44527 CA Primary

Addresses

Primary practice location

306 E Pacific Coast Hwy
Suite #101
Long Beach, CA 90806-6259

Mailing address

306 E Pacific Coast Hwy
Suite 101
Long Beach, CA 90806-6259
Phone (562) 591-7655

Other identifiers 1

IdentifierTypeStateIssuer
PHA445270MedicaidCA

Other names 1

  • PCH Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

306 E Pacific Coast Hwy
Ste 101
Long Beach, CA 90806
Phone (562) 477-3500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1730210964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E PACIFIC COAST HWY",
            "address_2": "SUITE 101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066259",
            "telephone_number": "562-591-7655",
            "fax_number": "562-591-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E PACIFIC COAST HWY",
            "address_2": "SUITE #101",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066259",
            "telephone_number": "562-591-7655",
            "fax_number": "562-591-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG HO YOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "CHANG HO",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "562-591-7655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY44527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA445270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.