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NPI Code Detail

MEDICARE: MR. PATRICK CHRISTOPHER POON M.D.

MEDICARE:  MR. PATRICK CHRISTOPHER POON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianG30409CA

General Provider Information

NPI Number : 1538151022
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PATRICK CHRISTOPHER POON M.D.
Provider Business Mailing Address
First Line : 801 N. TUSTIN AVE., #205
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3600
Country : US
Telephone Number : 714-953-9100
Fax Number : 714-953-9400
Provider Business Practice Location Address
First Line : 801 N. TUSTIN AVE., #205
Second Line :
City : SANTA ANA
State : CA
Zip : 92705-3600
Country : US
Telephone Number : 714-953-9100
Fax Number : 714-953-9400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 10/15/2012

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Directions to “ MR. PATRICK CHRISTOPHER POON M.D.” Practice Location

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