Provider Demographics
NPI:1255205431
Name:KLA HEALTHCARE INC
Entity type:Organization
Organization Name:KLA HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JEONG
Authorized Official - Middle Name:MOOK
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:714-534-4555
Mailing Address - Street 1:9828 GARDEN GROVE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1652
Mailing Address - Country:US
Mailing Address - Phone:714-534-4555
Mailing Address - Fax:714-534-5127
Practice Address - Street 1:9828 GARDEN GROVE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1652
Practice Address - Country:US
Practice Address - Phone:714-534-4555
Practice Address - Fax:714-534-5127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy