Provider Demographics
NPI:1568269546
Name:CHA, GA HYUN (PHARMD)
Entity type:Individual
Prefix:
First Name:GA HYUN
Middle Name:
Last Name:CHA
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 MEEHAN ST APT 206
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-7305
Mailing Address - Country:US
Mailing Address - Phone:510-754-5525
Mailing Address - Fax:
Practice Address - Street 1:709 MEEHAN ST APT 206
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-7305
Practice Address - Country:US
Practice Address - Phone:510-754-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90638183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist