Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Poom Medical Clinic Inc

Organization Family Medicine Physician · NPI 1831548197

Poom Medical Clinic Inc provides Family Medicine Physician services in Perris, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2055 N Perris Blvd Ste E6
Perris, CA 92571-2517 Not confirmed with CMS for 10 years — call before visiting
Phone: (951) 940-4176
Fax: (951) 940-4038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A 70122 (CA)

Record details

NPI number1831548197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lida Poommipanit-Bajon — Secretary · (808) 419-1187
NPI enumeratedJune 8, 2016
Last updated in NPPESJune 8, 2016
Mailing address16293 Regency Ranch Rd, Riverside, CA 92504-5654

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