Individual
DR. CLINTON D. PON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7119 ELK GROVE BLVD STE 123, ELK GROVE, CA 95758-9568
(916) 478-2778
Mailing address
7119 ELK GROVE BLVD STE 123, ELK GROVE, CA 95758-9568
(916) 478-2778
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0102570
—
CA
Enumeration date
02/20/2007
Last updated
07/09/2007
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