SOON YOUNG YIM (NPI# 1154371268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154371268 |
| Entity Type | Organization |
| Organization Name | SOON YOUNG YIM |
| Other Organization Name | EDEN PHARMACY |
| Practice Address |
2681 W Olympic Blvd Ste 102 Los Angeles CA 90006-2810 |
| Practice Telephone | 2133817705 |
| Practice Fax Number | 2133817706 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | SOON YOUNG YIM (OWNER) |
| Authorized Official Telephone | 2133817705 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY46931 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA469310 | 05 | |
| OTHER ID NUMBER | 5614397 | 01 |
| Other Name | Type Code |
|---|---|
| Eden Pharmacy | Doing Business As Name - Organization |
| Street Address |
2681 W OLYMPIC BLVD STE 102 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495572 | Min Seuk Park | Obstetrics & Gynecology | 2681 W Olympic Blvd, Suite 220, Los Angeles, CA 90006-2810 | 2005-08-30 |
| 1497027486 | Soonyoung Yim | Pharmacist | 2681 W Olympic Blvd, #102, Los Angeles, CA 90006-2883 | 2012-02-06 |
| 1134220700 | Ronald Pilar Costales Jr. | Physical Therapist | 2681 W Olympic Blvd, Suite 2201, Los Angeles, CA 90006-2810 | 2006-09-26 |
| 1144239195 | Robert S Baek | Chiropractor | 2681 W Olympic Blvd, Suite 2201, Los Angeles, CA 90006-2810 | 2006-08-07 |
| 1265477871 | Vermont Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 2681 W Olympic Blvd, 101, Los Angeles, CA 90006-2883 | 2006-06-18 |
| 1699718551 | Richard A. Deandrea | Family Medicine | 2681 W Olympic Blvd, 2201, Los Angeles, CA 90006-2883 | 2006-06-14 |
| 1932158540 | Rolandheights Care Medical Center | Internal Medicine | 2681 W Olympic Blvd, Suite 2201, Los Angeles, CA 90006-2883 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1649807140 | Mixlab, Inc. | Pharmacy | 2223 Federal Ave, Los Angeles, CA 90064-1403 | 2020-03-25 |
| 1457985426 | Care Prescription Management | Pharmacy | 5757 Wilshire Blvd Ste 320, Los Angeles, CA 90036-3686 | 2020-02-27 |
| 1609409077 | Altamed Health Services Corp | Pharmacy | 2100 W 3rd St Ste 190, Los Angeles, CA 90057-1999 | 2020-02-13 |
| 1003448184 | Linco Pharmacy, Inc. | Pharmacy | 5755 W Adams Blvd, Los Angeles, CA 90016-2440 | 2020-02-06 |
| 1972149292 | Cedars-sinai Medical Care Foundation | Pharmacy | 11800 Wilshire Blvd Ste 202, Los Angeles, CA 90025-6602 | 2019-11-21 |
| 1659930089 | Jade Kalelei Wilia | Pharmacy | 1411 N Mansfield Ave Apt 9, Los Angeles, CA 90028-7676 | 2019-06-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on SOON YOUNG YIM.
| 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.