Provider Demographics
NPI:1881604890
Name:HUNT, DAVID AARON (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AARON
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 BOGIE STREET
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551
Mailing Address - Country:US
Mailing Address - Phone:661-874-4050
Mailing Address - Fax:
Practice Address - Street 1:43322 GINGHAM AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93535-4569
Practice Address - Country:US
Practice Address - Phone:661-874-4050
Practice Address - Fax:661-874-4051
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:2008-04-29
Provider Licenses
StateLicense IDTaxonomies
CAG48019207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G480190Medicaid
CAWG48019HMedicare PIN
CK352YMedicare PIN
A92783Medicare UPIN