Sean E. Koon
Internist - Addiction Medicine
9961 Sierra Ave
Fontana
, California 92335-6720
Sean E. Koon
Internist - Addiction Medicine
9961 Sierra Ave
Fontana
, California 92335-6720
(909) 427-3910
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Sean E. Koon
- 9961 Sierra Ave
- Fontana, CA
- Zip : 92335-6720
- Phone : (909) 427-3910
Second Address
- Sean E. Koon
- 9961 Sierra Ave
- Fontana, CA
- Zip : 92335-6720
- Phone : (909) 427-3910
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | A70370 | CA |
National Provider Identifier
| NPI | 1285701128 |
|---|---|
| Provider Name | Sean E. Koon |
| First Address | Fontana, CA 92335-6720 |
| Second Address | Fontana, CA 92335-6720 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/11/2006 |
| Last Update Date | 30/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.