Mr. Jae Y Park
Pharmacist
3307 W Pico Bl, Los Angeles
California, 90019-4530
323-734-1177 323-734-1178
Mr. Jae Y Park is a pharmacist in Los Angeles, California. Patients can reach him at 3307 W Pico Bl, Los Angeles or contact him on 323-734-1177. Active license number of Mr. Jae Y Park is PHY44525 for Pharmacist in California.
Mr. Jae Y Park is 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.
Complete Profile:
Mr. Jae Y Park speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mr. Jae Y Park |
| Specialization: | Pharmacist |
| Credentials: | RPH |
| Gender: | Male |
| Location: | 3307 W Pico Bl, Los Angeles,
California, 90019-4530 |
| Phone: | 323-734-1177 |
| Fax: | 323-734-1178 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mr. Jae Y Park are as mentioned below.
| NPI Number: | 1699750182 |
| NPI Enumeration Date: | 07 Dec, 2005 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jae Y Park are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | PHY44525 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jae Y Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| PHA 445250 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3307 W Pico Bl,
Los Angeles, California |
| Zip: | 90019-4530 |
| Phone Number: | 323-734-1177 |
| Fax Number: | 323-734-1178 |
Patients can reach Mr. Jae Y Park at
3307 W Pico Bl, Los Angeles, California or can
call on phone at 323-734-1177.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.