David R. Gwynn
Ophthalmologist
22691 Plaza Drive Suite 250
Mission Viejo
, California 92691
David R. Gwynn
Ophthalmologist
22691 Plaza Drive Suite 250
Mission Viejo
, California 92691
(949) 364-9014
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- David R. Gwynn
- 22691 Plaza Drive Suite #250
- Mission Viejo, CA
- Zip : 92691
- Fax : (949) 364-9014
- Phone : (949) 364-0225
Second Address
- David R. Gwynn
- 22691 Plaza Drive Suite 250
- Mission Viejo, CA
- Zip : 92691
- Fax : (949) 364-9014
- Phone : (949) 364-0225
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | G86237 | CA |
National Provider Identifier
| NPI | 1003837766 |
|---|---|
| Provider Name | David R. Gwynn |
| First Address | Mission Viejo, CA 92691 |
| Second Address | Mission Viejo, CA 92691 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2006 |
| Last Update Date | 10/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G862370 | BLUE SHIELD (01) | CA |
| G53654 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.