Healthcare Provider Details

I. General information

NPI: 1952030975
Provider Name (Legal Business Name): JAMES Y. HONG PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 FAIRMONT SHOPPING CTR
PACIFICA CA
94044-1240
US

IV. Provider business mailing address

1774 26TH AVE
SAN FRANCISCO CA
94122-4316
US

V. Phone/Fax

Practice location:
  • Phone: 650-355-5810
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH83004
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: