Physician Compare National (NPI:1396726782)

HEALTHCARE PROVIDER: THOMAS GAIL AUYONG DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396726782
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224335054
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200519002350
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AUYONG
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	724 N DIAMOND BAR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	DIAMOND BAR
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	917651062
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9098603011
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y