Healthcare Provider Details

I. General information

NPI: 1760483838
Provider Name (Legal Business Name): PETER HONG RPH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 E FOOTHILL BLVD
PASADENA CA
91107-3121
US

IV. Provider business mailing address

3601 E FOOTHILL BLVD
PASADENA CA
91107-3121
US

V. Phone/Fax

Practice location:
  • Phone: 626-351-6572
  • Fax: 626-351-0839
Mailing address:
  • Phone: 626-351-6572
  • Fax: 626-351-0839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH50454
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: