Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | G84848 | CA |
NPI | 1184683252 |
---|---|
Provider Name | Dr. Calvon Voong |
First Address | Visalia, CA 93291-6014 |
Second Address | Visalia, CA 93291-6014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2006 |
Last Update Date | 05/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G20277 | (02) | CA |