Provider Demographics
NPI:1811945082
Name:DURON, PAUL ADOLPH SR (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ADOLPH
Last Name:DURON
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1141 N BRAND BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-2511
Mailing Address - Country:US
Mailing Address - Phone:818-247-9717
Mailing Address - Fax:818-247-9760
Practice Address - Street 1:1141 N BRAND BLVD
Practice Address - Street 2:SUITE 400
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2511
Practice Address - Country:US
Practice Address - Phone:818-247-9717
Practice Address - Fax:818-247-9760
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2014-03-28
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Provider Licenses
StateLicense IDTaxonomies
CAA50452207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF41069Medicare UPIN