Provider Demographics
NPI:1184683252
Name:VOONG, CALVON (MD)
Entity Type:Individual
Prefix:DR
First Name:CALVON
Middle Name:
Last Name:VOONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 W CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6014
Mailing Address - Country:US
Mailing Address - Phone:559-627-9000
Mailing Address - Fax:559-627-9009
Practice Address - Street 1:800 W CENTER AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6014
Practice Address - Country:US
Practice Address - Phone:559-627-9000
Practice Address - Fax:559-627-9009
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-18
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG848482081P2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ02772ZMedicare ID - Type Unspecified
CAG20277Medicare UPIN