Individual
MR. PAUL SAMUEL GAYNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 SUNSET BLVD, LOS ANGELES, CA 90027
(323) 361-2163
(323) 361-7128
Mailing address
4650 SUNSET BLVD, MAINSTOP 54, LOS ANGELES, CA 90027
(323) 361-2163
(323) 361-7128
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
G30173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G301730
—
CA
01
—
00G301730 G15
CAL OPTIMA
CA
Enumeration date
09/22/2006
Last updated
04/12/2026
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