Organization
HONG SHENG MEDICINE LLC
Active
Other names
NORTHEAST CLINIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHEN-AN HSU (OWNER/PIC)
(323) 222-0181
Entity
Organization
Contact information
Practice address
3309 N EASTERN AVE, LOS ANGELES, CA 90032-1931
(323) 222-0181
(323) 222-2733
Mailing address
3309 N EASTERN AVE, LOS ANGELES, CA 90032-1931
(323) 222-0181
(323) 222-2733
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524771
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
100106063
—
CA
05
—
PHA159040
—
CA
05
—
PHA462660
—
CA
Enumeration date
08/10/2006
Last updated
04/14/2022
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