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Contact Information

GWENETH POON, MD
6600 BRUCEVILLE RD
SACRAMENTO, CA95823-4671
 Phone: 916-688-2000
 Fax: 916-734-6548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for GWENETH POON · (Female)

NPI # 1780661173
Status Active
Credentials MD
Entity Individual
Enumeration date 12/27/2005
Last updated 02/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A76054
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL SO SACRAMENTO - (Acute Care)
    6600 BRUCEVILLE ROAD
    SACRAMENTO, CA 95823
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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