Bomi Kim, Pharm D
Pharmacist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1760064166
StatusActive
Last updated in NPPESApr 25, 2021
Details
- NPI
- 1760064166
- Entity type
- Individual (NPI-1)
- Name
- Bomi Kim
- Credential
- Pharm D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2021
- Certification date
- Apr 25, 2021
- Last updated
- Apr 25, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 77751 | CA | Yes |
Practice location
505 S Virgil Ave Ste 107Los Angeles, CA 90020-1407
Phone 213-380-5100
Mailing address
505 S Virgil Ave Ste 107Los Angeles, CA 90020-1407
Phone 213-380-5100
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