Individual
CHRISTOPHER PON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 BROADWAY, OAKLAND, CA 94611-5730
(510) 752-1000
Mailing address
3600 BROADWAY, OAKLAND, CA 94611-5730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95187247
CA
Other
Enumeration date
07/12/2021
Last updated
03/28/2024
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