Provider Demographics
NPI:1548868722
Name:SING WING POON M.D., INC.
Entity type:Organization
Organization Name:SING WING POON M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SING WING
Authorized Official - Middle Name:
Authorized Official - Last Name:POON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-460-1044
Mailing Address - Street 1:PO BOX 50612
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91115-0612
Mailing Address - Country:US
Mailing Address - Phone:626-460-1044
Mailing Address - Fax:
Practice Address - Street 1:675 S ARROYO PKWY STE 110
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3248
Practice Address - Country:US
Practice Address - Phone:646-389-8238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty