Ivan Gong
Pharmacist
4077 Fifth Ave, San Diego
California, 92103-2105
619-294-8111 Ivan Gong is a pharmacist in San Diego, California. Patients can reach him at 4077 Fifth Ave, San Diego or contact him on 619-294-8111. Active license number of Ivan Gong is 91666 for Pharmacist in California.
Ivan Gong is 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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Ivan Gong speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Ivan Gong |
| Specialization: | Pharmacist |
| Credentials: | PHARMD |
| Gender: | Male |
| Location: | 4077 Fifth Ave, San Diego,
California, 92103-2105 |
| Phone: | 619-294-8111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Ivan Gong are as mentioned below.
| NPI Number: | 1982524203 |
| NPI Enumeration Date: | 17 Jul, 2026 |
| NPI Last Update On: | 17 Jul, 2026 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ivan Gong are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 91666 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 121 Orange St,
San Gabriel, California |
| Zip: | 91776-2433 |
| Phone Number: | -- |
Patients can reach Ivan Gong at
4077 Fifth Ave, San Diego, California or can
call on phone at 619-294-8111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.