Provider Demographics
NPI:1679071021
Name:POON, YIM SHEUNG
Entity Type:Individual
Prefix:
First Name:YIM SHEUNG
Middle Name:
Last Name:POON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4759 BEACONSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-5147
Mailing Address - Country:US
Mailing Address - Phone:626-673-4783
Mailing Address - Fax:
Practice Address - Street 1:4759 BEACONSFIELD ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-5147
Practice Address - Country:US
Practice Address - Phone:626-673-4783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant