Dr. POYRUNG POYSOPHON MD
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1609257435- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 21634 RETREAT PKWY, CORONA, CA, 928836100
- Phone
- (951) 493-6832
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Family Medicine, Sports Medicine
Primary License: CA #A015875