Individual provider · Type 1 NPI

Ivan Gong, PharmD

Pharmacist · San Diego, CA

NPI number 1982524203 Active

Practice location

4077 Fifth Ave
San Diego, CA 92103-2105

Call (619) 294-8111 Map

Mailing address

121 Orange St
San Gabriel, CA 91776-2433

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X91666 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1982524203

Ivan Gong, PharmD's National Provider Identifier is 1982524203, issued on Jul 17, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Diego, CA. The record was last updated on Jul 17, 2026.