Individual
DOUGLAS PON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LAWRENCE EXPY FL 2, SANTA CLARA, CA 95051-5173
(408) 851-6020
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
81349
CA
Other
Enumeration date
02/05/2009
Last updated
01/03/2022
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