| Doctor Name: | DR. PETER PO-KEUNG POON |
| NPI Number: | 1801015599 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A35568 |
| Business Practice Address: | 9817 Arkansas St Bellflower, CA - 907065913 |
| Business Phone Number: | 5628678881 |
| Business Fax Number: | 5628678821 |
| Mailing Address: | 9817 Arkansas St, BELLFLOWER |
| State: | CA |
| Postal Code: | 907065913 |
| Phone Number: | 5628678881 |
| Fax Number: | 5628678821 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A35568 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |