Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Poyrung Poysophon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609257435

Dr. Poyrung Poysophon, MD is a Family Practice in Corona, California. Qualified in 2015, 11 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Corona, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (4)

  • 7117 Brockton Ave, Riverside, CA 92506-2658 — (951) 493-6832
  • Eastside Health Center Building B, Riverside, CA 92507-9250 — (951) 384-6200
  • 1971 University Avenue, Riverside, CA 92507 — (951) 384-6200
  • 331 Ne Thornton Pl, Seattle, WA 98125-8021 — (206) 520-2405

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence A015875 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609257435
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESDecember 8, 2021
Certification dateFebruary 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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