Gwynn, David R.

Gwynn, David R. is an individual health care provider with primary practice located at 22691 Plaza Drive Suite 250, Mission Viejo CA 92691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gwynn, David R. can be contacted via phone (949) 364-0225.

Contact Information

Primary practice address
22691 Plaza Drive Suite 250 Mission Viejo CA 92691
Fax: (949) 364-9014
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G86237 California

Profile Details

NPI number 1003837766
LBN Legal business name Gwynn, David R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003837766 NPPES
California Other 00G862370 BLUE SHIELD

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