Active NPI
Bo Gyung Hong
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1902359144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60966
- Practice address
- 650 E El Segundo Blvd
Los Angeles, CA 90059-3308 - Phone
- (310) 327-5520
- Fax
- (310) 323-0350
- NPI assigned
- Jul 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60966 | CA | Primary |
Addresses
Primary practice location
650 E El Segundo Blvd
Los Angeles, CA 90059-3308
Mailing address
650 E El Segundo Blvd
Los Angeles, CA 90059-3308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60966 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469318400000",
"number": "1902359144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 E EL SEGUNDO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 E EL SEGUNDO BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593308",
"telephone_number": "310-327-5520",
"fax_number": "310-323-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "BO GYUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-24",
"last_updated": "2016-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.