MARY POONEN M.D. INC. NPI 1255490157

NPI Information

NPI: 1255490157
Provider Name: MARY POONEN, M.D., INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
16052 BEACH BLVD
SUITE 214
HUNTINGTON BEACH, CA
ZIP 92647
Phone: (714) 544-9466
Get Directions

MARY POONEN, M.D., INC. is a professional counselor in Huntington Beach, CA. MARY POONEN, M.D., INC. NPI is 1255490157. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16052 BEACH BLVD
SUITE 214
HUNTINGTON BEACH, CA
ZIP 92647-801
Phone: (714) 544-9466
Fax: (714) 849-5482

The provider's authorized official is Mary Poonen .
The authorized official title is Owner and has the following contact phone number (714) 544-9466.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 7/7/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MFC33147	CALIFORNIA	No
2	101YP2500X	Counselor	Professional	CO41790	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CO4101	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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