Individual
MR. DAVID PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1530 E 1ST ST, SUITE 216, SANTA ANA, CA 92701-6342
(714) 479-0840
(714) 836-5237
Mailing address
PO BOX 465, TUSTIN, CA 92781-0465
(714) 479-0840
(714) 836-5237
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G62826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G628261
—
CA
01
—
135499
DEPT OF LABOR
CA
Enumeration date
08/08/2006
Last updated
04/23/2013
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