What is Jae Hwon Tak's NPI number?

Jae Hwon Tak's National Provider Identifier (NPI) is 1104580638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jae Hwon Tak's specialty?

Jae Hwon Tak is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Jae Hwon Tak located?

Jae Hwon Tak's practice location on file with NPPES is 14530 Nordhoff St, Panorama City, CA 91402-1811.

What is Jae Hwon Tak's phone number?

The practice phone number listed in the NPPES registry for Jae Hwon Tak is (818) 672-0147.

Is Jae Hwon Tak's NPI active?

Yes — Jae Hwon Tak's NPI (1104580638) is active in the NPPES registry as of the last update on 2022-12-09.

IndividualActive

Jae Hwon Tak, RPH

NPI 1104580638 · Pharmacist · Panorama City, CA

Jae Hwon Tak, RPH is a Pharmacist provider in Panorama City, CA (NPI 1104580638).

Provider details

NPI number: 1104580638
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: No
License: 85197 (CA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 85197 (CA)
Pharmacy Service Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 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

14530 Nordhoff St

Panorama City, CA 91402-1811

Phone: (818) 672-0147

Street-level locationGet directions

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Mailing address