Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. POYRUNG POYSOPHON, MD
ActiveDR. POYRUNG POYSOPHON, MD is a Sports Medicine healthcare provider located in CORONA, California. NPI 1609257435 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · CORONA, CA
Registration Details
- NPI Number
- 1609257435
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2015 (11.203133529362 yrs)
- Last Updated
- Dec 8, 2021
- License
-
A015875 (CA)
Practice Information
- Address
-
21634 RETREAT PKWYCORONA, CA, 928836100Browse CA providers · Browse ZIP 92883
- Phone
- 9514936832
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.