Provider Demographics
NPI:1184770323
Name:CHO, KYU YOON (DOCTOR OF PHARMACY)
Entity type:Individual
Prefix:
First Name:KYU YOON
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2451 JANET LEE DR
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-2235
Mailing Address - Country:US
Mailing Address - Phone:213-700-3185
Mailing Address - Fax:
Practice Address - Street 1:5575 MISSION BLVD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92509-4503
Practice Address - Country:US
Practice Address - Phone:951-683-2172
Practice Address - Fax:951-683-2183
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH48207183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH48207OtherREGISTERED PHARMACIST