OrganizationActive
Bravo Pharmacy LLC
NPI 1104076884 · Community/Retail Pharmacy · Los Angeles, CA
Bravo Pharmacy LLC is a Community/Retail Pharmacy organization in Los Angeles, CA (NPI 1104076884).
Provider details
- NPI number
- 1104076884
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sang Kim, Ceo(310) 618-1988
- License
- PHY49276 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10211 Avalon Blvd
Los Angeles, CA 90003-4819
Phone: (323) 757-2727
Fax: (323) 575-2722
Street-level locationGet directions
Mailing address
2275 Torrance Blvd
Torrance, CA 90501-2550
Other names (DBA / former)
- Doing business as
- Bravo Pharmacy
Registry dates
- Enumerated
- 2008-09-30
- Last updated
- 2011-11-15
Frequently asked questions
- What is Bravo Pharmacy LLC's NPI number?
- Bravo Pharmacy LLC's National Provider Identifier (NPI) is 1104076884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bravo Pharmacy LLC?
- Bravo Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Bravo Pharmacy LLC located?
- Bravo Pharmacy LLC's practice location on file with NPPES is 10211 Avalon Blvd, Los Angeles, CA 90003-4819.
- What is Bravo Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Bravo Pharmacy LLC is (323) 757-2727.
- Who is the authorized official for Bravo Pharmacy LLC?
- The authorized official listed on Bravo Pharmacy LLC's NPPES record is Sang Kim, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bravo Pharmacy LLC's NPI active?
- Yes — Bravo Pharmacy LLC's NPI (1104076884) is active in the NPPES registry as of the last update on 2011-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.