Organization
ANDREW KWONG
Active
Other names
GATEWAY CIRCLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KWONG PHARM. DD (OWNER)
(323) 223-3228
Entity
Organization
Contact information
Practice address
3133 N BROADWAY, LOS ANGELES, CA 90031-2703
(323) 223-3228
(323) 222-1825
Mailing address
3133 NORTH BROADWAY, LOS ANGELES, CA 90031
(323) 223-3228
(323) 222-1825
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY30939
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116176
PK
—
05
—
PHA309390
—
CA
Enumeration date
08/10/2006
Last updated
09/19/2025
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