YON KYONG PAE (NPI# 1336396084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336396084 |
| Entity Type | Individual |
| Full Name | YON KYONG PAE |
| Practice Address |
1301 S Beach Blvd Ste K La Habra CA 90631-1110 |
| Practice Telephone | 5629478811 |
| Practice Fax Number | 5629478688 |
| Mailing Telephone | 5629478811 |
| Mailing Fax Number | 5629478688 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH 51491 | CA | Pharmacy Service Providers |
| Street Address |
1301 S BEACH BLVD STE K |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631-1110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336546514 | Susan Hae Suk Kim Dds Inc | Dentist | 1301 S Beach Blvd, Unit G, La Habra, CA 90631-6384 | 2014-12-03 |
| 1699025270 | Hae Suk Kim | Dentist | 1301 S Beach Blvd, Ste G, La Habra, CA 90631-1115 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617683 | Katherine Le | Pharmacist | 125 W Florence Ave, La Habra, CA 90631-4622 | 2019-12-22 |
| 1841732955 | Jiten Vijay Patel | Pharmacist | 2081 S Sanders Ct, La Habra, CA 90631-2097 | 2016-11-08 |
| 1811355423 | Mervat Shafik | Pharmacist | 1721 S Hagen Ct, La Habra, CA 90631-2064 | 2016-02-10 |
| 1861858573 | Anna Ara Cho | Pharmacist | 361 Avenida Santa Dorotea, La Habra, CA 90631-7612 | 2016-01-11 |
| 1902279862 | Tram Jordaan | Pharmacist | 777 S Habor Blvd Ste E164, La Habra, CA 90631 | 2015-11-01 |
| 1487044590 | Chin Da Chea So | Pharmacist | 351 E Bridenbecker Ave, La Habra, CA 90631-9266 | 2015-01-27 |
| 1215326228 | Regie Cabangcala | Pharmacist | 701 Juanita St, La Habra, CA 90631-4124 | 2015-01-13 |
| 1841691847 | Hanna Kim | Pharmacist | 721 Teakwood Ave, La Habra, CA 90631-7648 | 2014-09-09 |
| 1881994788 | Thu Anh Tran | Pharmacist | 2101 W Imperial Hwy, La Habra, CA 90631-6382 | 2010-10-25 |
| 1164741344 | Daisy Kwok | Pharmacist | 951 N Harbor Blvd, La Habra, CA 90631-3103 | 2010-05-27 |
| Find all providers in LA HABRA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.