Healthcare Provider Details

I. General information

NPI: 1578471967
Provider Name (Legal Business Name): DELONG CEN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W HUNTINGTON DR STE 400
ARCADIA CA
91007-3471
US

IV. Provider business mailing address

2028 KENOMA ST
GLENDORA CA
91740-4632
US

V. Phone/Fax

Practice location:
  • Phone: 686-218-9840
  • Fax: 626-218-9860
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number80589
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: