Provider Demographics
NPI:1649401993
Name:DUNN, SCOTT ALBERT (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ALBERT
Last Name:DUNN
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 MILWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291-3876
Mailing Address - Country:US
Mailing Address - Phone:310-577-3037
Mailing Address - Fax:
Practice Address - Street 1:630 MILWOOD AVE
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-3876
Practice Address - Country:US
Practice Address - Phone:310-577-3037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38648207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology