Provider Demographics
NPI:1023441052
Name:JONES, BRYAN PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:PAUL
Last Name:JONES
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 1:3007 HUNTINGTON DR STE 202
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-5522
Mailing Address - Country:US
Mailing Address - Phone:626-657-2020
Mailing Address - Fax:213-377-9590
Practice Address - Street 1:3007 HUNTINGTON DR UNIT 2020
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-5522
Practice Address - Country:US
Practice Address - Phone:626-657-2020
Practice Address - Fax:213-377-9590
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA170239207W00000X
NY288979207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology