Healthcare Provider Details

I. General information

NPI: 1851270060
Provider Name (Legal Business Name): ADIA HONG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 N ROSE DR
PLACENTIA CA
92870-7520
US

IV. Provider business mailing address

3317 EDWARDS AVE
EL MONTE CA
91733-1113
US

V. Phone/Fax

Practice location:
  • Phone: 714-524-6200
  • Fax:
Mailing address:
  • Phone: 626-261-9454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number91130
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number91130
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: