OrganizationActive
6122pharmacy
NPI 1124141270 · Community/Retail Pharmacy · Los Angeles, CA
Provider details
- NPI number
- 1124141270
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carl Kong, President(323) 725-1250
- License
- PHY30457 (CA)
Specialties & taxonomies
Suppliers
Practice location
6122 Whittier Blvd
Los Angeles, CA 90022-4504
Phone: (323) 725-1250
Fax: (323) 726-9091
Approximate (ZIP-level) locationGet directions
Mailing address
6122 Whittier Blvd
Los Angeles, CA 90022-4504
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.