Provider Demographics
NPI:1346751906
Name:NGO, LOC HONG (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:LOC
Middle Name:HONG
Last Name:NGO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SEA CLIFF PL
Mailing Address - Street 2:
Mailing Address - City:BAY POINT
Mailing Address - State:CA
Mailing Address - Zip Code:94565-6722
Mailing Address - Country:US
Mailing Address - Phone:925-642-4931
Mailing Address - Fax:
Practice Address - Street 1:3353 DEER VALLEY RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531-6664
Practice Address - Country:US
Practice Address - Phone:925-757-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-22
Last Update Date:2017-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA77622183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist