Provider Demographics
NPI:1396923033
Name:CALVON VOONG, M.D., INC.
Entity type:Organization
Organization Name:CALVON VOONG, M.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVON
Authorized Official - Middle Name:
Authorized Official - Last Name:VOONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-627-9000
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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CALVON VOONG, M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAZZZ02772Z261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG20277Medicare UPIN
CAZZZ02772ZMedicare PIN