Individual
NATALIE CARYN PON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 617-3850
(650) 688-3669
Mailing address
650 CLARK WAY, PALO ALTO, CA 94304-2300
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A143578
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A143578
CALIFORNIA MEDICAL BOARD
CA
Enumeration date
04/19/2013
Last updated
03/11/2024
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