Provider Demographics
NPI:1225470354
Name:WON, ROY PILLSUB (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:PILLSUB
Last Name:WON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 SUNNY CREST DR STE 3500
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3646
Mailing Address - Country:US
Mailing Address - Phone:714-408-4249
Mailing Address - Fax:714-525-0123
Practice Address - Street 1:1950 SUNNY CREST DR STE 3500
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3646
Practice Address - Country:US
Practice Address - Phone:714-408-4249
Practice Address - Fax:714-525-0123
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS6980208C00000X
CAA134883208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX415263901Medicaid
TX415263903Medicaid
TX415263902Medicaid