Provider Demographics
NPI:1528387677
Name:HONG, LING LI K
Entity Type:Individual
Prefix:
First Name:LING LI
Middle Name:K
Last Name:HONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28220 GOLDEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-2922
Mailing Address - Country:US
Mailing Address - Phone:310-541-9661
Mailing Address - Fax:310-541-9661
Practice Address - Street 1:23 PENINSULA CTR
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3506
Practice Address - Country:US
Practice Address - Phone:310-377-4472
Practice Address - Fax:310-377-2313
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2010-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44785183500000X
NV10859183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist