Lida B Poommipanit-bajon
POOM MEDICAL CLINIC INC


Address: 2055 N Perris Blvd, Suite E6, Perris, CA 92571-2517
Phone: 9519404176

Lida B Poommipanit-bajon (NPI# 1861563413, PAC ID# 6901897727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1861563413
PAC ID by PECOS 6901897727
Professional Enrollment ID I20040520000979
Full Name Lida B Poommipanit-bajon
Organization Legal Name POOM MEDICAL CLINIC INC
Address 2055 N Perris Blvd
Suite E6
Perris
CA 92571-2517
Phone Number 9519404176
Gender F
Credential MD
Medical School UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE
Graduation Year 1998
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 0042506834
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
2055 N Perris Blvd, Suite E6, Perris, CA 92571-2517 9519404176 POOM MEDICAL CLINIC INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name POOM MEDICAL CLINIC INC
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Somchit T Poommipanit General Practice Poom Medical Clinic Inc 2055 N Perris Blvd, Suite E6, Perris, CA 92571-2517

Office Location

Street Address 2055 N PERRIS BLVD
SUITE E6
City PERRIS
State CA
Zip 92571-2517

Physicians in the same location

Name Specialty Organization Address
Somchit T Poommipanit General Practice Poom Medical Clinic Inc 2055 N Perris Blvd, Suite E6, Perris, CA 92571-2517

Physicians in the same zip code

Name Specialty Organization Address
Mark N Samonte General Practice 2225 N Perris Blvd, Perris, CA 92571-2580
Sayali Arunkumar Dhuri Physical Therapy Rancho Physical Therapy Inc 126 Avocado Ave, Suite 107, Perris, CA 92571-2605
Brian A Smith Physical Therapy Rancho Physical Therapy Inc 126 Avocado Ave, Suite 107, Perris, CA 92571-2605
George Villanueva Family Medicine 126 Avocado Ave, Suite 207, Perris, CA 92571-2605
Herman Mathias Geriatric Medicine 126 Avocado Ave, Suite 102, Perris, CA 92571-2605
Wendy Marie Ashley Physical Therapy Rancho Physical Therapy Inc 126 Avocado Ave, Suite 107, Perris, CA 92571-2605
Lucia Rodriguez Vargas Physical Therapy Rancho Physical Therapy, Inc. 126 Avocado Ave, Perris, CA 92571-2605
Diana R Irving Clinical Social Worker 126 Avocado Ave, Suite 103, Perris, CA 92571-2605
Frank J Valencia Anesthesiology 2224 Medical Ctr Dr, Perris, CA 92571-2638
Bich N Tram Certified Registered Nurse Anesthetist (crna) 2224 Medical Ctr Dr, Perris, CA 92571-2638
Find all physicians in zip 92571

Competitor

Search similar physicians

City PERRIS
Zip Code 92571
Specialty FAMILY MEDICINE
City + Specialty PERRIS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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