Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | BB0016996 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 141460 | CA |
NPI | 1184877003 |
---|---|
Provider Name | Dr. Selina Poon |
First Address | Pasadena, CA 91105-2625 |
Second Address | Pasadena, CA 91105-2625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2008 |
Last Update Date | 02/02/2018 |