Provider Demographics
NPI:1588751812
Name:POON, ERIC KIN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:KIN
Last Name:POON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4710 NEROLY RD
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-1726
Mailing Address - Country:US
Mailing Address - Phone:925-757-0311
Mailing Address - Fax:925-757-0313
Practice Address - Street 1:3700 SUNSET LN
Practice Address - Street 2:SUITE 3
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-6199
Practice Address - Country:US
Practice Address - Phone:925-757-0311
Practice Address - Fax:925-757-0313
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG47247173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA50663Medicare UPIN