Individual
ALICE JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13463 WASHINGTON BLVD, MARINA DEL REY, CA 90292-5658
(310) 754-2003
Mailing address
14501 HINDRY AVE, HAWTHORNE, CA 90250-6748
(310) 727-0402
(310) 727-0409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
88415
CA
Other
Enumeration date
01/16/2023
Last updated
02/18/2026
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