Provider Demographics
NPI:1447579149
Name:HONG, JOUNG (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JOUNG
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 PROMONTORY PL
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-3469
Mailing Address - Country:US
Mailing Address - Phone:626-967-2637
Mailing Address - Fax:
Practice Address - Street 1:1051 PROMONTORY PL
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91791-3469
Practice Address - Country:US
Practice Address - Phone:626-967-2637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH40139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist