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NPI Code Detail

MEDICARE: PETER YOUNGKI HONG RPH.

MEDICARE:   PETER YOUNGKI HONG  RPH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRPH50454CA

General Provider Information

NPI Number : 1760483838
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER YOUNGKI HONG RPH.
Provider Business Mailing Address
First Line : 12145 STONE GATE WAY
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91326-3854
Country : US
Telephone Number : 818-366-3071
Fax Number : 818-716-1229
Provider Business Practice Location Address
First Line : 12145 STONE GATE WAY
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91326-3854
Country : US
Telephone Number : 818-366-3071
Fax Number : 818-716-1229
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 08/14/2007

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Directions to “ PETER YOUNGKI HONG RPH.” Practice Location

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