Sean E. Koon is a Addiction Medicine in Fontana, California. Sean E. Koon practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Sean E. Koon is 1285701128. The last update date is 2021-11-30.
Sean E. Koon's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094273910. The mailing address for Sean E. Koon is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean E. Koon |
|---|---|
| Address | 9961 Sierra Ave, Fontana, California |
| Phone Number | 9094273910 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285701128 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 9961 Sierra Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923356720 |
| Phone Number | 9094273910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | A70370 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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What is the unique 10-digit identification code assigned to Sean E. Koon by the Centers for Medicare & Medicaid Services?
The Sean E. Koon has been issued the NPI (National Provider Identifier) 1285701128, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sean E. Koon?
The Sean E. Koon is physically situated at 9961 Sierra Ave, in the city of Fontana, state of CA, with the postal code 923356720.
What is Sean E. Koon's area of expertise and its corresponding taxonomy classification?
The Sean E. Koon's field of specialization is Addiction Medicine, and it falls under the taxonomy code 207Ra0401X, which categorizes healthcare providers based on their areas of practice.
When did the Sean E. Koon receive its 1285701128?
The Sean E. Koon was issued its 1285701128 on 2006-11-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Sean E. Koon last refreshed?
The information related to the Sean E. Koon, including its address, specialty, and other relevant details, was last updated on 2021-11-30.