Active NPI
Chang Ho Yoo
- Pharmacy
- Long Beach, CA
National Provider Identifier
1730210964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY44527
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA445270 | Medicaid | CA |
Other names 1
- PCH Medical Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Long Beach, CA
- NPI 1336531961
-
- Pharmacist
- Long Beach, CA
- NPI 1942676028
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.