Provider Demographics
NPI:1962478750
Name:BYLUND, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:BYLUND
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7592 METROPOLITAN DR
Mailing Address - Street 2:SUITE 405
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4428
Mailing Address - Country:US
Mailing Address - Phone:619-325-8726
Mailing Address - Fax:619-325-8728
Practice Address - Street 1:7592 METROPOLITAN DR
Practice Address - Street 2:SUITE 405-407
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4428
Practice Address - Country:US
Practice Address - Phone:619-297-4900
Practice Address - Fax:619-297-5460
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG52225207ZP0102X, 207ZI0100X
FLME60241207ZP0102X, 207ZI0100X
TNMD0000037159207ZP0102X, 207ZI0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZI0100XAllopathic & Osteopathic PhysiciansPathologyImmunopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G522250Medicaid
CAWG52225IMedicare PIN
CAF05373Medicare UPIN
CAWG52225KMedicare PIN
CAWG52225JMedicare PIN
CA00G522250Medicaid